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PALMETTO RETINA CENTER LLC
NPI 1255322806
Ophthalmology in West Columbia, SC

Active since November 02, 2005CLIA Certified · 3 labs
124 SUNSET COURT, WEST COLUMBIA, SC 29169(803) 931-0077(803) 931-0076 Get Directions Write a Review

NPPES record last updated: December 9, 2020. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Palmetto Retina Center Llc NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

PALMETTO RETINA CENTER LLC (NPI 1255322806) is a healthcare organization registered as an ophthalmology in West Columbia, South Carolina and active in the NPI registry since November 2005. The organization holds 3 active CLIA laboratory certificates, maintains 6 additional practice locations, and lists John A Wells, Managing Member, as its authorized official.

NPPES Registry Identity

NPI1255322806
Entity TypeOrganization
Primary Taxonomy207W00000X
Legal Business NamePALMETTO RETINA CENTER LLC
Location Address124 SUNSET COURTWest Columbia, SC 29169
Mailing Address124 Sunset CourtWest Columbia, SC 29169 · (803) 931-0077 · Fax (803) 931-0076
Phone(803) 931-0077
Fax(803) 931-0076
Organization SubpartNo
Authorized OfficialJohn A WellsManaging Member · (803) 931-0077
Enumeration DateNovember 2, 2005
Last NPPES UpdateDecember 9, 2020
NPPES CertifiedDecember 9, 2020
✔ NPI 1255322806 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyOphthalmologyAllopathic & Osteopathic Physicians
Taxonomy Code207W00000X
Definition
An ophthalmologist has the knowledge and professional skills needed to provide comprehensive eye and vision care. Ophthalmologists are medically trained to diagnose, monitor and medically or surgically treat all ocular and visual disorders. This includes problems affecting the eye and its component structures, the eyelids, the orbit and the visual pathways. In so doing, an ophthalmologist prescribes vision services, including glasses and contact lenses.
124 SUNSET COURT, West Columbia, SC 29169
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Secondary Practice Locations 6

Location 1528 Broad St Ste 101Sumter, SC 29150-3368 · Phone (803) 931-0077 · Fax (803) 931-0076
Location 2400 N Cashua DrFlorence, SC 29501-2098 · Phone (803) 931-0077 · Fax (803) 931-0076
Location 31170 Boulevard St Ste EOrangeburg, SC 29115-4359 · Phone (803) 931-0077 · Fax (803) 931-0076
Location 41831 W Evans St Ste 315Florence, SC 29501-3300 · Phone (803) 931-0077 · Fax (803) 931-0076
Location 52611 Forest Dr Ste 110Columbia, SC 29204-2372 · Phone (803) 931-0077 · Fax (803) 931-0076
Location 61055 Silver Bluff RdAiken, SC 29803-5861 · Phone (803) 931-0077 · Fax (803) 931-0076

Other Identifiers 1

MedicaidGP0623SC

Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-SPECIALTY GROUP

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Absolute Total Care, Ambetter of North Carolina, BlueCross BlueShield of South Carolina and more.Insurance ›

CLIA Laboratory Certificates CMS CLIA 3

Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.

Certificate of Waiver 42D2024072

Palmetto Retina Center, LLC · West Columbia, SC
Active · expires May 8, 2027
CLIA Number42D2024072
Laboratory TypePhysician Office
Certificate Effective DateMay 9, 2025
Certificate Expiration DateMay 8, 2027
Laboratory DirectorNitin Nigam
Laboratory Phone(803) 931-0077
Laboratory LocationPalmetto Retina Center, LLC124 Sunset Court, West Columbia, SC 29169
CLIA data matches this NPI record on: Address Name Phone
This certificate is issued to a laboratory to perform only waived tests.

Certificate of Waiver 42D2208518

Palmetto Retina Center · Florence, SC
Active · expires Jan 6, 2027
CLIA Number42D2208518
Laboratory TypePhysician Office
Certificate Effective DateJanuary 7, 2025
Certificate Expiration DateJanuary 6, 2027
Laboratory DirectorJohn F. Payne
Laboratory Phone(803) 744-0144
Laboratory LocationPalmetto Retina Center1831 West Evans Street Suite 315, Florence, SC 29501
CLIA data matches this NPI record on: Address Name
This certificate is issued to a laboratory to perform only waived tests.

Certificate of Waiver 42D2291648

Palmetto Retina Center · Aiken, SC
Active · expires Oct 12, 2027
CLIA Number42D2291648
Laboratory TypePhysician Office
Certificate Effective DateOctober 13, 2025
Certificate Expiration DateOctober 12, 2027
Laboratory DirectorDr. David L. Johnson
Laboratory Phone(803) 931-0077
Laboratory LocationPalmetto Retina Center410 University Parkway, Suite 2360, Aiken, SC 29803
CLIA data matches this NPI record on: Name Phone
This certificate is issued to a laboratory to perform only waived tests.

Other Providers at the Same Location NPPES 4

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

WILLIAM LLOYD CLARK MD
Ophthalmology
124 SUNSET COURT
WEST COLUMBIA, SC 29169
Lexington County (803) 931-0077
DR. JOHN F PAYNE MD
Ophthalmology
124 SUNSET COURT
WEST COLUMBIA, SC 29169
Lexington County (803) 931-0077
DAVID L JOHNSON MD
Ophthalmology (Retina Specialist)
124 SUNSET COURT
WEST COLUMBIA, SC 29169
Lexington County (803) 931-0077
JOHN A WELLS III MD
Ophthalmology
124 SUNSET COURT
WEST COLUMBIA, SC 29169
Lexington County (803) 931-0077

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Palmetto Retina Center LLC's NPI number?

The NPI number for Palmetto Retina Center LLC is 1255322806. It was assigned to this organization in the NPPES registry on November 2, 2005.

Where is Palmetto Retina Center LLC located?

Palmetto Retina Center LLC is located at 124 Sunset Court, West Columbia, SC 29169. The listed phone number is (803) 931-0077.

What is Palmetto Retina Center LLC's specialty?

The primary specialty registered for this NPI is Ophthalmology with taxonomy code 207W00000X.

Does Palmetto Retina Center LLC hold CLIA laboratory certificates?

Yes. 3 active CLIA laboratory certificates are associated with this NPI under the federal Clinical Laboratory Improvement Amendments program. The certificates are listed in the CLIA Laboratory Certificates section above.

What insurance does Palmetto Retina Center LLC accept?

Health plans from Ambetter from Absolute Total Care, Ambetter of North Carolina, BlueCross BlueShield of South Carolina and Molina Healthcare list Palmetto Retina Center LLC as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Palmetto Retina Center LLC was last updated on December 9, 2020. NPI Profile syncs with the weekly NPPES data releases published by CMS.