CAROLINA CATARACT CLINIC NPI 1477701431

NPI Information

  • NPI: 1477701431
  • Provider Name: CAROLINA CATARACT CLINIC
  • Classification: Specialist - 174400000X
  • Entity Type: Organization
  • Address: 2240 W DEKALB ST
    WALMART VISION CENTER
    CAMDEN, SC
    ZIP 29020
  • Phone: (803) 788-2276

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NPI Details

CAROLINA CATARACT CLINIC is a specialist in Camden, SC. The provider is an individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree. CAROLINA CATARACT CLINIC NPI is 1477701431. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

2240 W DEKALB ST
WALMART VISION CENTER
CAMDEN, SC
ZIP 29020-069
Phone: (803) 788-2276

The provider's authorized official is Dean R Jacobs .
The authorized official title is President and has the following contact phone number (803) 788-2276.

The enumeration date for this NPI number is 9/3/2008 and was last updated on 9/3/2008.

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 Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1174400000XSpecialist12570SOUTH 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 Identifier Other Provider Identifier Type Other Provider Identifier State Other Provider Identifier Issuer
1GP2752MEDICAIDSOUTH CAROLINA
2C61406MEDICARE UPINSOUTH CAROLINA
36587MEDICARE PINSOUTH 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: 11/21/2025

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