MEDICARE: DR. MATTHEW JOSEPH DIMINICK OD

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	152W00000X	Optometrist	OPT.2608	SC

General Provider Information

NPI Number	:	1033045133
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. MATTHEW JOSEPH DIMINICK OD

Provider Business Mailing Address
First Line	:	5642 JOHN GAINES BLVD
Second Line	:
City	:	KINGSPORT
State	:	TN
Zip	:	37664-6532
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	12 FARMFIELD AVE
Second Line	:
City	:	CHARLESTON
State	:	SC
Zip	:	29407-7755
Country	:	US
Telephone Number	:	843-763-2270
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	06/18/2026
Last Update Date	:	06/18/2026

Similar Medicare Providers

1235199092 — DR. JAMES BALL M.D.
Practice Location Address:

12-A FARMFIELD AVE
CHARLESTON, SC
29407-7755

Practice Phone: 843-573-2255
Practice Fax: 843-573-2291

1477503787 — LOWCOUNTRY MEDICAL ASSOCIATES
Practice Location Address:

12 FARMFIELD AVE , SUITE E
CHARLESTON, SC
29407-7755

Practice Phone: 843-556-7942
Practice Fax:

1649222589 — HARBOR TOWN PULMONARY, LLC
Practice Location Address:

12-A FARMFIELD AVE
CHARLESTON, SC
29407-7755

Practice Phone: 843-573-2255
Practice Fax: 843-573-2291

1851134258 — MARY HANNAH WHEELER OD
Practice Location Address:

12 FARMFIELD AVE STE C
CHARLESTON, SC
29407-7755

Practice Phone: 843-890-8037
Practice Fax:

1225924418 — JULIE WASACK OD
Practice Location Address:

12 FARMFIELD AVE STE C
CHARLESTON, SC
29407-7755

Practice Phone: 843-763-2270
Practice Fax:

1851516041 — STRATEGIC BEHAVIORAL HEALTHCARE, LLC
Practice Location Address:

2114 COSGROVE AVE
NORTH CHARLESTON, SC
29405-7755

Practice Phone: 843-209-0690
Practice Fax:

Directions to “ DR. MATTHEW JOSEPH DIMINICK OD” Practice Location

Language	Start Address	Practice Location

These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

Copyright © 2007-2026 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.