Mason Family Vision

LBN: Mason Family Vision
Mason Family Vision is an health care organization with primary practice located at 141 Wildewood Park Dr , Columbia SC 29223-4300. The organization recently has only one registered license in Eye and Vision Services Providers / Optometrist, which is considered as the primary health care specialty. Mason Family Vision can be contacted via phone (803) 865-5520, or through Mason, Katie via phone (803) 865-5520.

Contact Information

Primary practice address
141 Wildewood Park Dr Columbia SC 29223-4300
Phone: (803) 865-5520
Fax: (803) 865-5496
Website:
Map and Directions
Authorized official contact:
Name: Mason, Katie
Phone: (803) 865-5520

Health care specialties

SpecialtyCodeLicense #State
Eye and Vision Services Providers / Optometrist 152W00000X 1186 South Carolina

Profile Details

NPI number 1679785190
LBN Legal business name Mason Family Vision
DBA Doing business as
Authorized official Mason, Katie
Entity Organization
Organization subpart 1 No
Enumeration date May 4th, 2007
Last updated Mar 9th, 2012 - about 12 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 1679785190 NPPES
South Carolina MEDICAID DA9757

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