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ETTALEAH BLUESTEIN M.D.
NPI 1720030836
Ophthalmology in Charleston, SC

Active since May 17, 2006
2287 HENRY TECKLENBURG DR, SUITE 1, CHARLESTON, SC 29414(843) 769-6655(843) 769-6866 Get Directions Write a Review

NPPES record last updated: March 4, 2013. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Ettaleah Bluestein M.d. NPPES

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

ETTALEAH BLUESTEIN M.D. (NPI 1720030836) is a healthcare organization registered as an ophthalmology in Charleston, South Carolina and active in the NPI registry since May 2006. The organization lists Ettaleah Bluestein, Doctor, as its authorized official.

NPPES Registry Identity

NPI1720030836
Entity TypeOrganization
Primary Taxonomy207W00000X
Legal Business NameETTALEAH BLUESTEIN M.D.
Location Address2287 HENRY TECKLENBURG DR, SUITE 1Charleston, SC 29414-7801
Mailing Address2287 Henry Tecklenburg Dr, Suite 1Charleston, SC 29414-7801 · (843) 769-6655 · Fax (843) 769-6866
Phone(843) 769-6655
Fax(843) 769-6866
Organization SubpartNo
Authorized OfficialEttaleah BluesteinDoctor · (843) 769-6655
Enumeration DateMay 17, 2006
Last NPPES UpdateMarch 4, 2013
✔ NPI 1720030836 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyOphthalmologyAllopathic & Osteopathic Physicians
Taxonomy Code207W00000X
License✔ Licensed in SC · 15521
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.
2287 HENRY TECKLENBURG DR, Charleston, SC 29414
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Other Identifiers 4

Medicare UPINI63123SC
MedicaidGP4400SC
Medicare PIN8599SC
Medicare UPING28682SC

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Other Providers at the Same Location NPPES

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

MISS MADELYN SALEM APRN
Nurse Practitioner (Psychiatric/Mental Health)
2287 HENRY TECKLENBURG DR
CHARLESTON, SC 29414
Charleston County (843) 974-5622

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 Ettaleah Bluestein M.D.'s NPI number?

The NPI number for Ettaleah Bluestein M.D. is 1720030836. It was assigned to this organization in the NPPES registry on May 17, 2006.

Where is Ettaleah Bluestein M.D. located?

Ettaleah Bluestein M.D. is located at 2287 Henry Tecklenburg Dr Suite 1, Charleston, SC 29414. The listed phone number is (843) 769-6655.

What is Ettaleah Bluestein M.D.'s specialty?

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

When was this NPI record last updated?

The NPPES record for Ettaleah Bluestein M.D. was last updated on March 4, 2013. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 13 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.