Carolina Glaucoma And Vision Center
LBN: Carolina Glaucoma And Vision Center
Carolina Glaucoma And Vision Center is an health care organization with primary practice located at 1 Richland Medical Park Dr Suite 210, Columbia SC 29203-6834. The organization recently has only one registered license in Allopathic & Osteopathic Physicians / Ophthalmology, which is considered as the primary health care specialty.
Carolina Glaucoma And Vision Center can be contacted via phone (803) 789-4144, or through Blake, Alric Christopher via phone (803) 779-4144.
Contact Information
Primary practice address
1 Richland Medical Park Dr Suite 210
Columbia SC 29203-6834
Phone: (803) 789-4144
Fax: (803) 779-4146
Website:
Authorized official contact:
Name: Blake, Alric Christopher Doctor of Medicine (MD)
Phone: (803) 779-4144
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Ophthalmology | 207W00000X | 17330 | South Carolina |
Profile Details
| NPI number | 1700931979 |
|---|---|
| LBN Legal business name | Carolina Glaucoma And Vision Center |
| DBA Doing business as | |
| Authorized official | Blake, Alric Christopher Doctor of Medicine (MD) |
| Entity | Organization |
| Organization subpart 1 | No |
| Enumeration date | Jan 25th, 2007 |
| Last updated | Sep 9th, 2009 - about 16 years ago |
1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1700931979 | NPPES |
| South Carolina | Other | 180026568 | RAILROAD MEDICARE |
| South Carolina | MEDICAID | GP1498 | RAILROAD MEDICARE |
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