# RIDGELAND EYE ASSOCIATES LLC

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

## Provider details

- **NPI number:** 1518143221
- **Authorized official:** MARK T GOULAS MD (PARTNER)
- **Authorized official phone:** (843) 757-9661

## Contact information

- **Practice address:** 10668 SOUTH JACOB SMART BOULEVARD, RIDGELAND, SC 29936
- **Practice address phone:** (843) 757-9661
- **Mailing address:** 10668 SOUTH JACOB SMART BOULEVARD, RIDGELAND, SC 29936

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207W00000X | Ophthalmology Physician | 1335 | SC | — |
| 207W00000X | Ophthalmology Physician | 1344 | SC | — |
| 207W00000X | Ophthalmology Physician | 22573 | SC | Yes |
| 207W00000X | Ophthalmology Physician | 26698 | SC | — |
| 208200000X | Plastic Surgery Physician | 22573 | SC | — |

## Other

- **Enumeration date:** 01/11/2008
- **Last updated:** 01/11/2008