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PHYSICIANS EYE SURGERY CENTER LLC NPI 1346331329


NPI Information

NPI: 1346331329
Provider Name: PHYSICIANS EYE SURGERY CENTER LLC

Doing Business As: PHYSICIANS' EYE SURGERY CENTER

Classification: Clinic/Center - 261QA1903X
Entity Type: Organization

Specialization: Ambulatory Surgical

CLIA Number: 42D1046780

Address:
2060 CHARLIE HALL BLVD
SUITE 301
CHARLESTON, SC
ZIP 29414
Phone: (843) 571-4800
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PHYSICIANS EYE SURGERY CENTER LLC is an ambulatory surgical clinic center in Charleston, SC. PHYSICIANS EYE SURGERY CENTER LLC NPI is 1346331329. The provider is registered as an organization entity type.
The provider Is Doing Business As Physicians' Eye Surgery Center.

The provider's business location address is:

2060 CHARLIE HALL BLVD
SUITE 301
CHARLESTON, SC
ZIP 29414
Phone: (843) 571-4800
Fax: (843) 763-7621

The provider's authorized official is John Gp Boatwright .
The authorized official title is Physician Board Of Directors Presid and has the following contact phone number (843) 571-4800.

The CLIA number assigned to this NPI record is 42D1046780 - ambulatory surgery center with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 9/27/2006 and was last updated on 9/2/2020.


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
1261QA1903XClinic/CenterAmbulatory SurgicalASF097SOUTH 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
1ASC063MEDICAIDSOUTH 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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