South Carolina Retina Institute LLC
NPI 1417581638ActiveOrganization· Ophthalmology· Conway, SC
Ophthalmology in Conway, South Carolina, registered in NPPES in February 2020. The authorized official on file is Nicholas D. Marchase, MD, Owner. Enrolled in Medicare as part b supplier - clinic/group practice.
Overview
| NPI | 1417581638 |
|---|---|
| Status | Active |
| Entity type | Organization |
| NPI issued | Feb 26, 2020 |
| Last updated in NPPES | Sep 11, 2020 |
| Certified by provider | Sep 11, 2020 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Ophthalmology Primary | 207W00000X | — | — |
| Ophthalmology, Retina Specialist | 207WX0107X | — | — |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Oct 9, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 10, 2026 | No match | — |
| New York OMIG · Nov 10, 2026 | No match | — |
| Ohio Medicaid · Nov 10, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 10, 2026 | No match | — |
| Washington HCA · Nov 10, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Enrolled Part B Supplier - Clinic/Group Practice (SC) |
|---|
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