GRAND STRAND RETINA PC NPI 1043971112

NPI Information

  • NPI: 1043971112
  • Provider Name: GRAND STRAND RETINA PC
  • Classification: Clinic/Center - 261QS0132X
  • Specialization: Ophthalmologic Surgery
  • Entity Type: Organization
  • Address: 14361 OCEAN HWY UNIT 2B
    PAWLEYS ISLAND, SC
    ZIP 29585
  • Phone: (518) 420-7106

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NPI Details

GRAND STRAND RETINA PC is an ophthalmologic surgery clinic center in Pawleys Island, SC. GRAND STRAND RETINA PC NPI is 1043971112. The provider is registered as an organization entity type.

The provider's business location address is:

14361 OCEAN HWY UNIT 2B
PAWLEYS ISLAND, SC
ZIP 29585-806
Phone: (518) 420-7106

The provider's authorized official is Charles Doering .
The authorized official title is Owner / Provider and has the following contact phone number (518) 420-7106.

The enumeration date for this NPI number is 12/31/2021 and was last updated on 9/1/2023.

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 Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1261QS0132XClinic/CenterOphthalmologic SurgeryYes

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: 3/30/2025

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