# PALMETTO EYE SPECIALISTS, P.A.

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

## Provider details

- **NPI number:** 1437108404
- **Authorized official:** KENNETH DANIEL FARR M.D. (MEDICAL DIRECTOR)
- **Authorized official phone:** (843) 842-2020

## Contact information

- **Practice address:** 220 PEMBROKE DR, SUITE 100, HILTON HEAD ISLAND, SC 29926-6200
- **Practice address phone:** (843) 785-2525
- **Practice address fax:** (843) 785-5394
- **Mailing address:** PO BOX 23018, HILTON HEAD ISLAND, SC 29925-3018
- **Mailing address phone:** (843) 785-2525
- **Mailing address fax:** (843) 785-5394

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 152W00000X | Optometrist | — | NULL | — |
| 152W00000X | Optometrist | — | — | — |
| 207N00000X | Dermatology Physician | — | NULL | — |
| 207N00000X | Dermatology Physician | — | — | — |
| 207Q00000X | Family Medicine Physician | — | NULL | — |
| 207Q00000X | Family Medicine Physician | — | — | — |
| 207W00000X | Ophthalmology Physician | — | NULL | Yes |
| 207W00000X | Ophthalmology Physician | — | — | Yes |
| 237700000X | Hearing Instrument Specialist | HADS-872 | GA | — |
| 237700000X | Hearing Instrument Specialist | HAS-507 | SC | — |

## Other

- **Enumeration date:** 05/08/2006
- **Last updated:** 02/12/2014

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 05 | — | GP2666 | — | SC |