MEDICARE: SOUTHEASTERN OCULARISTS, INC.

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	332BC3200X	Customized Equipment (DME)

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1841213196
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	SOUTHEASTERN OCULARISTS, INC.

Provider Business Mailing Address
First Line	:	8426 MEDICAL PLAZA DR
Second Line	:	SUITE 500
City	:	CHARLOTTE
State	:	NC
Zip	:	28262-9746
Country	:	US
Telephone Number	:	704-510-9292
Fax Number	:	704-510-9881

Provider Business Practice Location Address
First Line	:	1300 HOSPITAL DR
Second Line	:	SUITE 260
City	:	MT PLEASANT
State	:	SC
Zip	:	29464-3261
Country	:	US
Telephone Number	:	843-884-7113
Fax Number	:	704-510-9881

Authorized Official
Title or Position	:	PRESIDENT
Name	:	MR. ROBERT HENDERLITE
Credential	:
Telephone Number	:	704-510-9292

Provider Enumeration Date	:	07/26/2006
Last Update Date	:	04/05/2016

Similar Medicare Providers

1093810970 — DR. DAVID MICHAEL INGRAHAM M.D.
Practice Location Address:

1300 HOSPITAL DR , SUITE 300
MT PLEASANT, SC
29464-3261

Practice Phone: 843-884-5200
Practice Fax: 843-884-6417

1992926232 — PALMETTO WOMEN'S HEALTH, PC
Practice Location Address:

1300 HOSPITAL DR , STE 380
MT PLEASANT, SC
29464-3261

Practice Phone: 843-884-2206
Practice Fax:

1073714713 — LOWCOUNTRY GASTROENTEROLOGY ASSOCIATES, PA
Practice Location Address:

1300 HOSPITAL DR , SUITE 300
MT PLEASANT, SC
29464-3261

Practice Phone: 843-884-5200
Practice Fax:

1326248766 — DAVID K. SMITH M D LLC
Practice Location Address:

1300 HOSPITAL DR , SUITE 250
MT PLEASANT, SC
29464-3261

Practice Phone: 843-971-8180
Practice Fax: 843-971-9239

1104001551 — EUGENIA BLAKE
Practice Location Address:

1300 HOSPITAL DR , SUITE 270
MT PLEASANT, SC
29464-3261

Practice Phone: 843-884-5133
Practice Fax: 843-972-2360

1144471103 — BARBARA BOLTON STONE APRN
Practice Location Address:

1300 HOSPITAL DR , SUITE 270
MT PLEASANT, SC
29464-3261

Practice Phone: 843-884-5133
Practice Fax: 843-849-3343

Directions to “SOUTHEASTERN OCULARISTS, INC. ” 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.