# CAROLINA EYECARE PHYSICIANS, LLC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1417768797
- **Authorized official:** MICHAEL PATRICK AMES (CHIEF FINANCIAL OFFICE)
- **Authorized official phone:** (941) 488-2020

## Contact information

- **Practice address:** 1739 SAM RITTENBERG BLVD, CHARLESTON, SC 29407-4927
- **Practice address phone:** (843) 625-6458
- **Mailing address:** PO BOX 117556, ATLANTA, GA 30368-7556
- **Mailing address phone:** (888) 856-1878

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 332H00000X | Eyewear Supplier | — | NULL | Yes |

## Other

- **Enumeration date:** 01/16/2025
- **Last updated:** 01/16/2025