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PALMETTO STATE EYECARE LLC NPI 1043513542


NPI Information

NPI: 1043513542
Provider Name: PALMETTO STATE EYECARE, LLC
Classification: Optometrist - 152W00000X
Entity Type: Organization

CLIA Number: 42D0955309

Address:
5426 FOREST DR
COLUMBIA, SC
ZIP 29206
Phone: (803) 767-9964
Get Directions

PALMETTO STATE EYECARE, LLC is an optometrist in Columbia, SC. The provider is 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. PALMETTO STATE EYECARE, LLC NPI is 1043513542. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

5426 FOREST DR
COLUMBIA, SC
ZIP 29206-401
Phone: (803) 767-9964
Fax: (803) 790-2163

The provider's authorized official is Ferine N. Johannes .
The authorized official title is Owner/optometrist and has the following contact phone number (920) 915-3422.

The CLIA number assigned to this NPI record is 42D0955309 - physician office with a certificate type of Certificate of Compliance.

The enumeration date for this NPI number is 12/6/2010 and was last updated on 12/6/2010.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1152W00000XOptometrist1568SOUTH CAROLINAYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

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