ANGEL OAK EYE CENTER NPI 1548329097

NPI Information

  • NPI: 1548329097
  • Provider Name: ANGEL OAK EYE CENTER
  • Classification: Optometrist - 152W00000X
  • Entity Type: Organization
  • CLIA Number: 42D0995075
  • Address: 2875 MAYBANK HWY
    JOHNS ISLAND, SC
    ZIP 29455
  • Phone: (843) 559-5333

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NPI Details

ANGEL OAK EYE CENTER is an optometrist in Johns Island, SC. The provider is doctors of optometry (ODs) are the primary health care professionals for the eye. Optometrists examine, diagnose, treat, and manage diseases, injuries, and disorders of the visual system, the eye, and associated structures as well as identify related systemic conditions affecting the eye. An optometrist has completed pre-professional undergraduate education in a college or university and four years of professional education at a college of optometry, leading to the doctor of optometry (O.D.) degree. Some optometrists complete an optional residency in a specific area of practice. Optometrists are eye health care professionals state-licensed to diagnose and treat diseases and disorders of the eye and visual system. ANGEL OAK EYE CENTER NPI is 1548329097. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

2875 MAYBANK HWY
JOHNS ISLAND, SC
ZIP 29455-808
Phone: (843) 559-5333
Fax: (843) 559-5339

The provider's authorized official is Paul W Bohac .
The authorized official title is Owner and has the following contact phone number (843) 559-5333.

The CLIA number assigned to this NPI record is 42D0995075 - community clinic with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 12/8/2006 and was last updated on 10/27/2008.

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
1152W00000XOptometrist907SOUTH 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 Identifier Other Provider Identifier Type Other Provider Identifier State Other Provider Identifier Issuer
1T931727306MEDICARE ID-TYPE UNSPECIFIEDSOUTH CAROLINAMEDICARE
2DO9070MEDICAIDSOUTH CAROLINA
3410049665MEDICARE ID-TYPE UNSPECIFIEDSOUTH CAROLINARR MEDICARE
4T93172MEDICARE UPINSOUTH CAROLINA
54475720001MEDICARE NSCSOUTH CAROLINA
6DA9762MEDICAIDSOUTH 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: 11/21/2025

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