Organization
PEDIATRIC EYE CARE & STRABISMUS, P.C.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ERIN BOOHER GOSHORN M.D. (PRESIDENT)
(704) 236-3339
Entity
Organization
Contact information
Practice address
1674 CRANIUM DR, SUITE 104, ROCK HILL, SC 29732-3567
(803) 327-3937
(803) 792-0545
Mailing address
1674 CRANIUM DR, SUITE 104, ROCK HILL, SC 29732-3567
(803) 327-3937
(803) 792-0545
Taxonomy
Speciality
Code
Description
License number
State
207W00000X
Ophthalmology Physician
Primary
16005
SC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1295783223
INDIVIDUAL NATIONAL PROVIDER IDENTIFICATION
NC
05
—
8936361
—
NC
05
—
NT5996
—
SC
Enumeration date
09/29/2014
Last updated
09/29/2014
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Contact us