Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Premier Surgery Center of the Carolinas, LLC

Organization Ophthalmology Physician · NPI 1023839438

Premier Surgery Center of the Carolinas, LLC is an Ophthalmology Physician in Indian Land, South Carolina. Registered with an NPI since 2024.

In the registry since
2024
Specialties on file
2
What do these letters mean?
LLC — Limited liability company
A form of business registration, not a clinical qualification.

See every abbreviation used in this directory →

Practice location Address checks out

1170 Edgewater Corporate Pkwy Ste 106
Indian Land, SC 29707-4607
Phone: (803) 239-4504
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Ambulatory Surgical Clinic/Center (primary) Taxonomy 261QA1903X
Ophthalmology Physician Taxonomy 207W00000X

Record details

NPI number1023839438
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Ivan Mac — Founding Member · (704) 254-9099
NPI enumeratedOctober 18, 2024
Last updated in NPPESJune 30, 2025
Certification dateJune 30, 2025
Mailing address4101 Campus Ridge Rd, Matthews, NC 28105-5077