Carolina Retina Center P.A.

LBN: Carolina Retina Center P.A.
Carolina Retina Center P.A. is an health care organization with primary practice located at 7620 Trenholm Road Ext , Columbia SC 29223-1718. The organization recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Ophthalmology, Allopathic & Osteopathic Physicians / Retina Specialist. Allopathic & Osteopathic Physicians / Retina Specialist is the primary health care specialty. Carolina Retina Center P.A. can be contacted via phone (803) 736-7200, or through Gross, Jeffrey Glenn via phone (803) 736-7200.

Contact Information

Primary practice address
7620 Trenholm Road Ext Columbia SC 29223-1718
Phone: (803) 736-7200
Fax: (803) 736-2116
Website:
Map and Directions
Authorized official contact:
Name: Gross, Jeffrey Glenn Doctor of Medicine (MD)
Phone: (803) 736-7200

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Ophthalmology 207W00000X
Allopathic & Osteopathic Physicians / Retina Specialist 207WX0107X

Profile Details

NPI number 1205892783
LBN Legal business name Carolina Retina Center P.A.
DBA Doing business as
Authorized official Gross, Jeffrey Glenn Doctor of Medicine (MD)
Entity Organization
Organization subpart 1 No
Enumeration date Apr 25th, 2006
Last updated Aug 4th, 2017 - about 7 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1205892783 NPPES
South Carolina MEDICAID GP1780

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