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THE RETINA CENTER OF CHARLESTON PA NPI 1205031234


NPI Information

NPI: 1205031234
Provider Name: THE RETINA CENTER OF CHARLESTON, PA
Classification: Clinic/Center - 261QS0132X
Entity Type: Organization

Specialization: Ophthalmologic Surgery

Address:
2057 CHARLIE HALL BLVD
SUITE A
CHARLESTON, SC
ZIP 29414
Phone: (843) 763-6491
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THE RETINA CENTER OF CHARLESTON, PA is an ophthalmologic surgery clinic center in Charleston, SC. THE RETINA CENTER OF CHARLESTON, PA NPI is 1205031234. The provider is registered as an organization entity type.

The provider's business location address is:

2057 CHARLIE HALL BLVD
SUITE A
CHARLESTON, SC
ZIP 29414-834
Phone: (843) 763-6491
Fax: (843) 763-6371

The provider's authorized official is Lowrey Pearson King .
The authorized official title is Physician,owner and has the following contact phone number (843) 763-6491.

The enumeration date for this NPI number is 6/19/2007 and was last updated on 9/22/2011.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1261QS0132XClinic/CenterOphthalmologic Surgery11997SOUTH CAROLINAYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.Other Provider IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
1D05796MEDICARE UPINSOUTH CAROLINA
27728MEDICARE PINSOUTH CAROLINA
3119972MEDICAIDSOUTH CAROLINA

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

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