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PIEDMONT RETINA ASSOC. P.A. NPI 1841480399


NPI Information

NPI: 1841480399
Provider Name: PIEDMONT RETINA ASSOC., P.A.
Classification: Ophthalmology - 207W00000X
Entity Type: Organization

CLIA Number: 42D0252255

Address:
317 SAINT FRANCIS DR
SUITE 330
GREENVILLE, SC
ZIP 29601
Phone: (864) 232-1636
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PIEDMONT RETINA ASSOC., P.A. is an ophthalmology in Greenville, 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. PIEDMONT RETINA ASSOC., P.A. NPI is 1841480399. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

317 SAINT FRANCIS DR
SUITE 330
GREENVILLE, SC
ZIP 29601-965
Phone: (864) 232-1636
Fax: (864) 232-8695

The provider's authorized official is Nick J Mclane .
The authorized official title is President and has the following contact phone number (864) 232-1636.

The CLIA number assigned to this NPI record is 42D0252255 - physician office with a certificate type of Certificate of Compliance.

The enumeration date for this NPI number is 7/31/2007 and was last updated on 7/31/2007.


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
1207W00000XOphthalmology10329SOUTH 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
1GP0198MEDICAIDSOUTH CAROLINA
23751MEDICARE UPINSOUTH 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: 11/14/2023

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