DR. ALEXIS NOELLE BROUSSARD (NPI# 1003393539) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1003393539 |
| Entity Type | Individual |
| Full Name | DR. ALEXIS NOELLE BROUSSARD |
| Credential | OD |
| Practice Address |
280 Harbison Blvd Ste T Columbia SC 29212-2247 |
| Mailing Address |
8704 Southampton Dr Miramar FL 33025-2716 |
| Practice Telephone | 8037329200 |
| Mailing Telephone | 5044810472 |
| Enumeration Date | 2018-07-26 |
| Last Update Date | 2018-07-26 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 152W00000X | Optometrist | 2085 | SC | Eye and Vision Services Providers |
| Street Address |
280 HARBISON BLVD STE T |
| City | COLUMBIA |
| State | SC |
| Zip Code | 29212-2247 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1073545836 | America's Best Contacts & Eyeglasses | Eyewear Supplier (Equipment, not the service) | 280 Harbison Blvd Ste T, Columbia, SC 29212-2247 | 2006-07-06 |
| 1568510485 | Justin Campbell | Optometrist | 280 Harbison Blvd Ste T, Columbia, SC 29212-2247 | 2007-01-08 |
| 1255411211 | Nathaniel Paul Jensen | Optometrist | 280 Harbison Blvd Ste T, Columbia, SC 29212-2247 | 2006-10-16 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1245758887 | Amanda Gail Holloman | Pharmacist | 6021 St. Andrews Road, Columbia, SC 29212 | 2017-09-04 |
| 1578080180 | Alvin Mitchell Jr. | Non-emergency Medical Transport (VAN) | 10 Breezewood Court, Columbia, SC 29212 | 2017-08-24 |
| 1467975102 | Shelby Clemmer | Behavior Technician | 2 Harbison Way, Columbia, SC 29212 | 2017-07-25 |
| 1982149019 | Showntellem | Private Vehicle | 336 Foxfire Dr, Columbia, SC 29212 | 2016-12-28 |
| 1902215296 | Miranda Willis Adult Day Care, LLC | Social Worker | 5932 Mcmillian Circle, Columbia, SC 29212 | 2014-08-12 |
| 1013342591 | Robert Glendon Long | Pediatrics | 15 Woodpine Ct, Columbia, SC 29212 | 2013-09-04 |
| 1174969638 | Melinda Dumas Crenshaw | Psychologist | 2800 Ashland Rd., Columbia, SC 29212 | 2013-05-10 |
| 1417209982 | Physician Services LLC | Internal Medicine | 214 Lake Front Drive, Physician Services, Cola, SC 29212 | 2012-10-09 |
| 1306131800 | Rocky Mountain Holdings LLC | Ambulance | 6015 Saint Andrews Rd, Columbia, SC 29212 | 2011-06-13 |
| 1023262839 | Candace Anne Aguiar | Nurse Anesthetist, Certified Registered | 400 Palmetto Health Pkwy, Palmetto Health Baptist Parkridge, Columbia, SC 29212 | 2008-11-06 |
| Find all providers in zip 29212 | ||||
| Taxonomy Code | 152W00000X |
| Grouping | Eye and Vision Services Providers |
| Classification | Optometrist |
| Doctors of optometry (ODs) are the primary health care professionals for the eye. Optometrists examine, diagnose, treat, and manage diseases, injuries, and disorders of the visual system, the eye, and associated structures as well as identify related systemic conditions affecting the eye. An optometrist has completed pre-professional undergraduate education in a college or university and four years of professional education at a college of optometry, leading to the doctor of optometry (O.D.) degree. Some optometrists complete an optional residency in a specific area of practice. Optometrists are eye health care professionals state-licensed to diagnose and treat diseases and disorders of the eye and visual system. |
| Notes: Source: American Optometric Association (AOA), approved by the AOA’s Board of Trustees, June 21, 2005. [7/1/2006: definition modified] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1447876040 | Rachel Cho | Optometrist | 8900 Columbia 100 Pkwy Ste L, Columbia, MD 21045-2336 | 2020-06-19 |
| 1982232922 | Katzen Medical Associates | Optometrist | 6325 Woodside Ct Ste 125, Columbia, MD 21046-3215 | 2020-03-27 |
| 1972135754 | Healthy Eyes Vision Group LLC | Optometrist | 1518 Pickens St, Columbia, SC 29201-3449 | 2020-02-10 |
| 1699257881 | Henry Gates | Optometrist | 1 Fort Jackson, Columbia, SC 29207-5000 | 2018-09-04 |
| 1316443146 | Eyes On The Lake LLC | Optometrist | 2914 Dreher Shoals Rd Ste A, Columbia, SC 29212-7909 | 2018-04-02 |
| 1356861025 | Lindsey Vallejo | Optometrist | 816 S James Campbell Boulevard, Columbia, TN 38401 | 2017-06-23 |
| 1639607930 | Valerie L. Gallo | Optometrist | 201 Harbison Blvd Ste 110, Columbia, SC 29212-2270 | 2017-05-31 |
| 1578001293 | Daniel & Max, LLC | Optometrist | 10110 Two Notch Rd, Columbia, SC 29223-4383 | 2017-02-01 |
| 1669832812 | Hirangi Patel | Optometrist | 4601 Forest Dr Ste C, Columbia, SC 29206-3122 | 2016-03-01 |
| 1801256466 | Myeyedr Optometry of Maryland, LLC | Optometrist | 6110a Dobbin Rd, Columbia, MD 21045-5843 | 2016-02-25 |
| Find all providers in COLUMBIA | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.