MALLARD EYE CARE, LLC (NPI# 1487010674) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1487010674 |
| Entity Type | Organization |
| Organization Name | MALLARD EYE CARE, LLC |
| Other Organization Name | MALLARD EYE CARE COLUMBIA |
| Practice Address |
2200 Brookmeade Dr Columbia TN 38401-3994 |
| Practice Telephone | 9313813900 |
| Mailing Telephone | 9313813900 |
| Enumeration Date | 2016-01-05 |
| Last Update Date | 2020-01-23 |
| Authorized Official Name | DR. CHRISTOPHER MALLARD (OWNER) |
| Authorized Official Telephone | 6153024477 |
| Authorized Official Credential | OD |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 152W00000X | Optometrist | 2955 | TN | Eye and Vision Services Providers |
| Other Name | Type Code |
|---|---|
| Mallard Eye Care Columbia | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1912516956 | Mallard Eye Care, LLC | Optometrist | 1334 N Ellington Pkwy # P, Lewisburg, TN 37091-2218 | 2020-07-27 |
| 1053962134 | Mallard Eye Care, LLC | Optometrist | 1224 Huntsville Hwy, Fayetteville, TN 37334-3618 | 2019-09-20 |
| 1255760286 | Mallard Eye Care, LLC | Optometrist | 4959 Main St, Spring Hill, TN 37174-2727 | 2013-11-12 |
| Street Address |
2200 BROOKMEADE DR |
| City | COLUMBIA |
| State | TN |
| Zip Code | 38401-3994 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1053338236 | Wal-mart Stores East Lp | Durable Medical Equipment & Medical Supplies | 2200 Brookmeade Dr, Columbia, TN 38401-3994 | 2006-07-16 |
| 1831686500 | Bianca Kakade | Pharmacist | 2200 Brookmeade Dr, Columbia, TN 38401-3994 | 2018-04-18 |
| 1063920270 | Joseph Melvin Jett IIi | Pharmacist | 2200 Brookmeade Dr, Columbia, TN 38401-3994 | 2018-01-22 |
| 1902314107 | Robert Thames | Pharmacist | 2200 Brookmeade Dr, Columbia, TN 38401-3994 | 2018-01-22 |
| 1598273799 | Anna Willis | Pharmacist | 2200 Brookmeade Dr, Columbia, TN 38401-3994 | 2018-01-22 |
| 1679663330 | Wal-mart Stores East, Lp | Technician/Technologist | 2200 Brookmeade Dr, Columbia, TN 38401-3994 | 2006-10-13 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1093327629 | Andrew Swensen | Pharmacist | 1202 South James Campbell Blvd, Columbia, TN 38401 | 2020-08-17 |
| 1790305522 | Milaya L Webster | Community Based Residential Treatment Facility, Mental Illness | 809 South Water Streer, Columbia, TN 38401 | 2020-04-22 |
| 1730729468 | Dania Cortez | Licensed Practical Nurse | 40 Park Plus Court, Columbia, TN 38401 | 2020-01-10 |
| 1619519683 | Agilitas Usa, Inc | Clinic/Center | 627 S. James Campbell Blvd., Suite B, Columbia, TN 38401 | 2019-10-11 |
| 1710531280 | Abby Graves | Dietitian, Registered | 1216 Trottwood Ave, Columbia, TN 38401 | 2019-08-01 |
| 1942771746 | James Brian Gregory | Marriage & Family Therapist | 497 E James Campbell Blvd, Columbia, TN 38401 | 2018-12-06 |
| 1104312255 | Sarah Miller | Social Worker | 230 E James Campbell Boulevard, Suite 113, Columbia, TN 38401 | 2018-07-02 |
| 1407343148 | Tammy Lynn James | Nurse Practitioner | 6011 Trotwood Ave Ste D, Columbia, TN 38401 | 2018-04-18 |
| 1053838276 | Tiffany Huskey | Audiologist-Hearing Aid Fitter | 1202 S James Campbell Blvd, Suite 15, Columbia, TN 38401 | 2017-08-28 |
| 1942726963 | Northland Hearing Center, Inc. | Hearing Aid Equipment | 1202 South James Campbell Blvd, Suite 15, Columbia, TN 38401 | 2017-08-22 |
| Find all providers in zip 38401 | ||||
| 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.