SOUTHEASTERN VISION INSTITUTE LLC NPI 1679014138

NPI Information

  • NPI: 1679014138
  • Provider Name: SOUTHEASTERN VISION INSTITUTE LLC
  • Classification: Ophthalmology - 207W00000X
  • Entity Type: Organization
  • CLIA Number: 42D1078780
  • Address: 735 JOHNNIE DODDS BLVD
    101
    MOUNT PLEASANT, SC
    ZIP 29464
  • Phone: (843) 216-2020

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NPI Details

SOUTHEASTERN VISION INSTITUTE LLC is an ophthalmology in Mount Pleasant, SC. The provider is an ophthalmologist has the knowledge and professional skills needed to provide comprehensive eye and vision care. Ophthalmologists are medically trained to diagnose, monitor and medically or surgically treat all ocular and visual disorders. This includes problems affecting the eye and its component structures, the eyelids, the orbit and the visual pathways. In so doing, an ophthalmologist prescribes vision services, including glasses and contact lenses. SOUTHEASTERN VISION INSTITUTE LLC NPI is 1679014138. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

735 JOHNNIE DODDS BLVD
101
MOUNT PLEASANT, SC
ZIP 29464-058
Phone: (843) 216-2020

The provider's authorized official is William Waring .
The authorized official title is Owner and has the following contact phone number (843) 216-2020.

The CLIA number assigned to this NPI record is 42D1078780 - physician office with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 3/17/2017 and was last updated on 3/17/2017.

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
1207W00000XOphthalmologyMD32317SOUTH CAROLINAYes

What is NPI?

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This page was last updated on: 11/21/2025

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