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CLEMSON EYE, PA
NPI 1629686373
Optometrist in Hartsville, SC

Active since July 20, 2020
504 S 4TH ST, HARTSVILLE, SC 29550(864) 654-6706 Get Directions Write a Review

NPPES record last updated: July 20, 2020. Verified against the NPPES registry weekly; last sync: August 23, 2026.

About Clemson Eye, Pa NPPES

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

CLEMSON EYE, PA (NPI 1629686373) is a healthcare organization registered as an optometrist in Hartsville, South Carolina and active in the NPI registry since July 2020. The organization maintains a secondary practice location in Sumter and lists Lanita Weisenberger, Credentialing Specialist, as its authorized official.

NPPES Registry Identity

NPI1629686373
Entity TypeOrganization
Primary Taxonomy152W00000X
Legal Business NameCLEMSON EYE, PA
Location Address504 S 4TH STHartsville, SC 29550-5720
Mailing Address15 Southern Center CtEasley, SC 29642-1533 · (864) 654-6706 · Fax (864) 343-2074
Phone(864) 654-6706
Organization SubpartNo
Authorized OfficialLanita WeisenbergerCredentialing Specialist · (864) 722-1133
Enumeration DateJuly 20, 2020
NPPES CertifiedJuly 20, 2020
✔ NPI 1629686373 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyOptometristEye and Vision Services Providers
Taxonomy Code152W00000X
Definition
Doctors of optometry (ODs) are the primary health care professionals for the eye. Optometrists examine, diagnose, treat, and manage diseases, injuries, and disorders of the visual system, the eye, and associated structures as well as identify related systemic conditions affecting the eye. An optometrist has completed pre-professional undergraduate education in a college or university and four years of professional education at a college of optometry, leading to the doctor of optometry (O.D.) degree. Some optometrists complete an optional residency in a specific area of practice. Optometrists are eye health care professionals state-licensed to diagnose and treat diseases and disorders of the eye and visual system.
504 S 4TH ST, Hartsville, SC 29550
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Secondary Practice Location 1

Location 1528 Broad St Ste 101Sumter, SC 29150-3368 · Phone (864) 654-6706

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

CLIA Laboratory Certificates CMS CLIA 4

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 42D2190298

Clemson Eye, PA · Hartsville, SC
Expired · Aug 11, 2026
CLIA Number42D2190298
Laboratory TypePhysician Office
Certificate Effective DateAugust 12, 2024
Certificate Expiration DateAugust 11, 2026
Laboratory DirectorJoseph Parisi
Laboratory Phone(864) 722-1133
Laboratory LocationClemson Eye, PA504 S 4th Street, Hartsville, SC 29550
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 42D2191133

Clemson Eye, PA · Dillon, SC
Expired · Aug 23, 2026
CLIA Number42D2191133
Laboratory TypePhysician Office
Certificate Effective DateAugust 24, 2024
Certificate Expiration DateAugust 23, 2026
Laboratory DirectorJoseph Parisi
Laboratory Phone(864) 722-1133
Laboratory LocationClemson Eye, PA300 East Monroe Street, Dillon, SC 29536
CLIA data matches this NPI record on: Name Phone
This certificate is issued to a laboratory to perform only waived tests.

Certificate of Waiver 42D2190301

Clemson Eye, PA · Loris, SC
Expired · Aug 11, 2026
CLIA Number42D2190301
Laboratory TypePhysician Office
Certificate Effective DateAugust 12, 2024
Certificate Expiration DateAugust 11, 2026
Laboratory DirectorJoseph L. Parisi
Laboratory Phone(864) 722-1133
Laboratory LocationClemson Eye, PA3911 Main Street, Loris, SC 29569
CLIA data matches this NPI record on: Name Phone
This certificate is issued to a laboratory to perform only waived tests.

Certificate of Waiver 42D2190303

Clemson Eye, PA · Sumter, SC
Expired · Aug 11, 2026
CLIA Number42D2190303
Laboratory TypePhysician Office
Certificate Effective DateAugust 12, 2024
Certificate Expiration DateAugust 11, 2026
Laboratory DirectorJoseph Parisi
Laboratory Phone(864) 722-1133
Laboratory LocationClemson Eye, PA380 West Wesmark Boulvard, Sumter, SC 29150
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 6

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

WILLIAM ALEXANDER OD
Optometrist
504 S 4TH ST
HARTSVILLE, SC 29550
Darlington County (843) 332-7171
THEODORE W NEWMAN O.D.
Optometrist
504 S 4TH ST
HARTSVILLE, SC 29550
Darlington County (843) 664-9393
DR. STEPHEN KEITH FLOWERS O.D.
Optometrist
504 S 4TH ST
HARTSVILLE, SC 29550
Darlington County (843) 332-7171
DR. HOWARD WEBSTER TUCKER JR. O.D.
Optometrist
504 S 4TH ST
HARTSVILLE, SC 29550
Darlington County (843) 332-7171
PEE DEE EYE ASSOCIATES PA
Optometrist
504 S 4TH ST
HARTSVILLE, SC 29550
Darlington County (843) 332-7171
RAKSHA RAJ
Optometrist
504 S 4TH ST
HARTSVILLE, SC 29550
Darlington County (864) 654-6706

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 Clemson Eye, PA's NPI number?

The NPI number for Clemson Eye, PA is 1629686373. It was assigned to this organization in the NPPES registry on July 20, 2020.

Where is Clemson Eye, PA located?

Clemson Eye, PA is located at 504 S 4th St, Hartsville, SC 29550. The listed phone number is (864) 654-6706.

What is Clemson Eye, PA's specialty?

The primary specialty registered for this NPI is Optometrist with taxonomy code 152W00000X.

When was this NPI record last updated?

The NPPES record for Clemson Eye, PA was last updated on July 20, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.