DR. MOHAMED SHABIR BHARADIA (NPI# 1003870890) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1003870890 |
| Entity Type | Individual |
| Full Name | DR. MOHAMED SHABIR BHARADIA |
| Credential | OD |
| Practice Address |
1326 Bush River Rd At Walmart Vision Center Columbia SC 29210-6804 |
| Mailing Address |
Po Box 21203 Columbia SC 29221-1203 |
| Practice Telephone | 8037504949 |
| Practice Fax Number | 8037507172 |
| Mailing Telephone | 8037504949 |
| Mailing Fax Number | 8037507172 |
| Enumeration Date | 2006-04-17 |
| Last Update Date | 2008-04-25 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 152W00000X | Optometrist | 1047 | SC | Eye and Vision Services Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| SC | D10478 | 05 |
| Street Address |
1326 BUSH RIVER RD AT WALMART VISION CENTER |
| City | COLUMBIA |
| State | SC |
| Zip Code | 29210-6804 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1619329232 | Richard West Jacocks | Pharmacist | 1326 Bush River Rd, Columbia, SC 29210-6804 | 2016-07-07 |
| 1487064820 | Robyn Brown | Pharmacist | 1326 Bush River Rd, Columbia, SC 29210-6804 | 2014-05-07 |
| 1003235136 | Janna Hollis | Pharmacist | 1326 Bush River Rd, Columbia, SC 29210-6804 | 2014-04-16 |
| 1770920548 | In Focus Eye Care Inc. | Optometrist | 1326 Bush River Rd, Columbia, SC 29210-6804 | 2013-06-03 |
| 1619173804 | Midlands Vision Associates, PC | Optometrist | 1326 Bush River Rd, At Walmart Vision Center, Columbia, SC 29210-6804 | 2007-06-25 |
| 1396962395 | Wal-mart Stores East Lp | Durable Medical Equipment & Medical Supplies | 1326 Bush River Rd, Columbia, SC 29210-6804 | 2007-04-19 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1700413838 | Alexis Koreema Brown | Social Worker | 3205 Montcrest Rd., Columbia, SC 29210 | 2020-03-26 |
| 1942767843 | Thomas Edwin Cromer | Social Worker | 409 Evelyn Drive, Columbia, SC 29210 | 2019-02-27 |
| 1184193542 | Helen Hoffman Coleman | Pharmacist | 16 Berryhill Road, Ste 109, Columbia, SC 29210 | 2018-11-15 |
| 1356828040 | Latia Kelly Mcdonald | Counselor | 105 Beth Hope Lane, Columbia, SC 29210 | 2018-07-25 |
| 1356892848 | Butterfly Effects LLC | Community/Behavioral Health | 1607 Bentley Court, Columbia, SC 29210 | 2016-10-19 |
| 1114373651 | Lilian Emetu | Nurse Practitioner | 822 Statler Road, Columbia, SC 29210 | 2016-05-13 |
| 1154776433 | Costco Wholesale Corporation | Eyewear Supplier (Equipment, not the service) | 507 Piney Grove Rd, Columbia, SC 29210 | 2016-04-25 |
| 1790167690 | Wanda Al-lahabi | Specialist | 1030 St. Andrews Rd., Suite B-3, Columbia, SC 29210 | 2015-06-26 |
| 1285040279 | Debra R. Smart | Counselor | 652 Bush Road, Suite 216, Columbia, SC 29210 | 2014-07-10 |
| 1144665282 | Snf Transportation LLC | Home Health | 810 Dutch Center Blvd, Columbia, SC 29210 | 2013-05-02 |
| Find all providers in zip 29210 | ||||
| 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.