RUFUS B. ANTLEY, OD (NPI# 1124103536) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1124103536 |
| Entity Type | Organization |
| Organization Name | RUFUS B. ANTLEY, OD |
| Other Organization Name | WAGENER VISION CLINIC |
| Practice Address |
149 N. Main St Wagener SC 29164 |
| Mailing Address |
Po Box 130 Wagener SC 29164 |
| Practice Telephone | 8035646728 |
| Practice Fax Number | 8035646750 |
| Mailing Telephone | 8035646728 |
| Mailing Fax Number | 8035646750 |
| Enumeration Date | 2006-10-25 |
| Last Update Date | 2008-04-20 |
| Authorized Official Name | MRS. BARBARA L. ANTLEY (OFFICE MANAGER) |
| Authorized Official Telephone | 8035329870 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 152W00000X | Optometrist | 433 | SC | Eye and Vision Services Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| SC | DA9844 | 05 |
| Other Name | Type Code |
|---|---|
| Wagener Vision Clinic | Doing Business As Name - Organization |
| Street Address |
149 N. MAIN ST |
| City | WAGENER |
| State | SC |
| Zip Code | 29164 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1902317241 | Bela Family Dentistry of Wagener | Dentist | 112 Louie Street, Wagener, SC 29164 | 2017-10-13 |
| 1629463575 | H and M Healthcare | Durable Medical Equipment & Medical Supplies | 123 A Earl Street, Wagener, SC 29164 | 2015-03-30 |
| 1740602374 | Stephanie Grant | Registered Nurse | 20 A L Corbett Circle, Wagener, SC 29164 | 2014-01-16 |
| 1952738379 | Lexcaregivers LLC | In Home Supportive Care | 32 W Pine Circle, Wagener, SC 29164 | 2013-09-30 |
| 1255766986 | Virginia A Johnson | Health Educator | 32 W. Pine Circle, Wagener, SC 29164 | 2013-09-12 |
| 1811173602 | Carolina Cataract Clinic | Ophthalmology | 149 North Main Street, Wagener, SC 29164 | 2008-01-11 |
| 1689750572 | Julian Harrison Fair IIi | Dentist | Julian H. Fair 111,dmd,p.a., 112 Louie Street, 112 Louie Street, Wagener, SC 29164 | 2006-10-31 |
| 1093803934 | Clarence Williams Jr. | Dentist | 275 South Main Street, Wagener, SC 29164 | 2006-10-10 |
| 1952731531 | Jackson Chiropractic LLC | Chiropractor | 147 Main Street, Wagener, SC 29164 | 2013-11-19 |
| 1902164171 | Dr. Vasant L. Garde | Clinic/Center | 120 Louie Street, Wagener, SC 29164 | 2012-04-25 |
| Find all providers in zip 29164 | ||||
| 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 |
|---|---|---|---|---|
| 1013515014 | Michael Richard Campbell | Optometrist | 10 Hospital Center Cmns Ste 100, Hilton Head Island, SC 29926-2838 | 2020-10-12 |
| 1760080824 | Jason Thomason | Optometrist | 113 Foxbank Plantation Blvd # C, Moncks Corner, SC 29461-6707 | 2020-10-12 |
| 1720696792 | National Vision Inc | Optometrist | 1317 N Main St Ste A3, Summerville, SC 29483-7342 | 2020-07-16 |
| 1871101857 | National Vision Inc | Optometrist | 1050 Fording Island Rd Ste G, Bluffton, SC 29910-8667 | 2020-07-16 |
| 1770104549 | Erica Jill Bobb | Optometrist | 3029 Oliver Stanley Trl, Lancaster, SC 29720-0286 | 2020-05-02 |
| 1346860491 | Hannah C. Williams | Optometrist | 2008 Concord Dr, Camden, SC 29020-9516 | 2020-04-19 |
| 1457986267 | Seaside Eye Associates South LLC | Optometrist | 640 Morse Ave, Unit 11, Murrells Inlet, SC 29576 | 2020-03-12 |
| 1831724756 | Jax & Rae Optometric | Optometrist | 970 Liberty St E, York, SC 29745-1662 | 2020-03-11 |
| 1083248785 | National Vision Inc | Optometrist | 2031 Sam Rittenberg Blvd Ste 101, Charleston, SC 29407-4681 | 2020-03-03 |
| 1972135754 | Healthy Eyes Vision Group LLC | Optometrist | 1518 Pickens St, Columbia, SC 29201-3449 | 2020-02-10 |
| Find all providers with the same taxonomy | ||||
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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.