Provider Demographics
NPI:1306314562
Name:LOWCOUNTRY EYE CARE OF MT PLEASANT, LLC
Entity type:Organization
Organization Name:LOWCOUNTRY EYE CARE OF MT PLEASANT, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:MEMBER
Authorized Official - Prefix:DR
Authorized Official - First Name:FRANCIS
Authorized Official - Middle Name:WESTON
Authorized Official - Last Name:SHEALY
Authorized Official - Suffix:III
Authorized Official - Credentials:OD
Authorized Official - Phone:813-431-6889
Mailing Address - Street 1:1251 SAVANNAH HWY
Mailing Address - Street 2:
Mailing Address - City:CHARLESTON
Mailing Address - State:SC
Mailing Address - Zip Code:29407-7826
Mailing Address - Country:US
Mailing Address - Phone:813-431-6889
Mailing Address - Fax:
Practice Address - Street 1:855 HOUSTON NORTHCUTT BLVD
Practice Address - Street 2:
Practice Address - City:MOUNT PLEASANT
Practice Address - State:SC
Practice Address - Zip Code:29464-3446
Practice Address - Country:US
Practice Address - Phone:843-797-1264
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2018-11-06
Last Update Date:2018-11-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes152W00000XEye and Vision Services ProvidersOptometristGroup - Single Specialty