# CAROLINA EYECARE PHYSICIANS, LLC

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

## Provider details

- **NPI number:** 1679131247
- **Authorized official:** DANIEL FLYNN (PRACTICE ADMINISTRATOR)
- **Authorized official phone:** (843) 725-0064

## Contact information

- **Practice address:** 1101 CLARITY RD STE 100, MT PLEASANT, SC 29464-3138
- **Practice address phone:** (843) 881-3937
- **Practice address fax:** (843) 375-1487
- **Mailing address:** 2861 TRICOM ST, NORTH CHARLESTON, SC 29406-9172
- **Mailing address phone:** (843) 725-0064
- **Mailing address fax:** (843) 569-7885

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 152W00000X | Optometrist | — | NULL | — |
| 152W00000X | Optometrist | — | — | — |
| 156FX1800X | Optician | — | NULL | — |
| 156FX1800X | Optician | — | — | — |
| 207W00000X | Ophthalmology Physician | — | NULL | — |
| 207W00000X | Ophthalmology Physician | — | — | — |
| 332H00000X | Eyewear Supplier | — | NULL | Yes |

## Other

- **Enumeration date:** 05/30/2019
- **Last updated:** 01/26/2024

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 05 | — | VA9854 | — | SC |