Bansal, Nikhil
Bansal, Nikhil is an individual health care provider with primary practice located at 122 Ben Casey Dr Ste 101 , Fort Mill SC 29708-6594. He recently has only one registered license in Eye and Vision Services Providers / Optometrist, which is considered as his primary health care specialty. Bansal, Nikhil can be contacted via phone (803) 396-3937.Contact Information
Primary practice address
122 Ben Casey Dr Ste 101
Fort Mill SC 29708-6594
Phone: (803) 396-3937
Fax: (803) 396-3945
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Eye and Vision Services Providers / Optometrist | 152W00000X | 1151 | South Carolina |
Profile Details
| NPI number | 1396708475 |
|---|---|
| LBN Legal business name | Bansal, Nikhil |
| Credentials | Doctor of Optometry (OD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Apr 10th, 2006 |
| Last updated | Aug 11th, 2021 - about 3 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1396708475 | NPPES |
| South Carolina | MEDICAID | D11510 | |
| South Carolina | Other | 1151 | |
| South Carolina | MEDICAID | 89063M9 |
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