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

Dr. Ellesse Boiwka, OD

Individual provider Optometrist · NPI 1306256003

Dr. Ellesse Boiwka, OD is an Optometry in Mount Pleasant, South Carolina. Graduated from Southern College of Optometry in 2014, 12 years ago. Practices with Southeastern Vision Institute LLC, a 4-clinician group, works from 2 locations and accepts Medicare assignment. Licensed in South Carolina.

Years since qualifying
12
Trained at
Southern College of Optometry
Licensed in
SC
In the registry since
2014
What do these letters mean?
OD — Doctor of Optometry
An optometrist: examines eyes, prescribes glasses and contacts, and treats many eye conditions.

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Practice location Address checks out

1296 Long Grove Dr
Mount Pleasant, SC 29464-9462
Phone: (843) 388-6200
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 7013 Dorchester Rd, North Charleston, SC 29418 — (843) 552-2070

Specialties & licences

Optometrist (primary) Taxonomy 152W00000X · Licence 1857 (SC)

Record details

NPI number1306256003
Entity typeIndividual (Type 1)
GenderFemale
Credentials OD
Sole proprietorYes
NPI enumeratedMay 2, 2014
Last updated in NPPESFebruary 16, 2021
Certification dateFebruary 16, 2021

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyOPTOMETRY
Medical schoolSOUTHERN COLLEGE OF OPTOMETRY
Graduated 2014 (12 years in practice)
Group practice Southeastern Vision Institute Llc — 4 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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