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CAROLINA GLAUCOMA AND VISION CENTER NPI 1700931979


NPI Information

NPI: 1700931979
Provider Name: CAROLINA GLAUCOMA AND VISION CENTER
Classification: Ophthalmology - 207W00000X
Entity Type: Organization
Address:
1 RICHLAND MEDICAL PARK DR
SUITE 210
COLUMBIA, SC
ZIP 29203
Phone: (803) 789-4144
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CAROLINA GLAUCOMA AND VISION CENTER is an ophthalmology in Columbia, SC. The provider is 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. CAROLINA GLAUCOMA AND VISION CENTER NPI is 1700931979. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

1 RICHLAND MEDICAL PARK DR
SUITE 210
COLUMBIA, SC
ZIP 29203-834
Phone: (803) 789-4144
Fax: (803) 779-4146

The provider's authorized official is Alric Christopher Blake .
The authorized official title is Owner and has the following contact phone number (803) 779-4144.

The enumeration date for this NPI number is 1/25/2007 and was last updated on 9/9/2009.


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
1207W00000XOphthalmology17330SOUTH CAROLINAYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.Other Provider IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
1180026568OTHERSOUTH CAROLINARAILROAD MEDICARE
2GP1498MEDICAIDSOUTH CAROLINA
3F850567162MEDICARE PINSOUTH CAROLINA
4F85056MEDICARE UPINSOUTH CAROLINA

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: 11/14/2023

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