FORT MILL OPTICAL INC (NPI# 1548201908) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1548201908 |
| Entity Type | Organization |
| Organization Name | FORT MILL OPTICAL INC |
| Other Organization Name | FORT MILL VISION CENTER |
| Practice Address |
1090 Spratt St Fort Mill SC 29715-8226 |
| Mailing Address |
Po Box 1149 Fort Mill SC 29716-1149 |
| Practice Telephone | 8035475547 |
| Practice Fax Number | 8035475724 |
| Mailing Telephone | 8035475547 |
| Mailing Fax Number | 8035475724 |
| Enumeration Date | 2006-06-09 |
| Last Update Date | 2008-04-01 |
| Authorized Official Name | DR. DEBORAH A LONG (OPTOMETRIST/OWNER) |
| Authorized Official Telephone | 8035475547 |
| Authorized Official Credential | O.D. |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 152W00000X | Optometrist | 1387 | SC | Eye and Vision Services Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| SC | DA9735 | 05 |
| Other Name | Type Code |
|---|---|
| Fort Mill Vision Center | Doing Business As Name - Organization |
| Street Address |
1090 SPRATT ST |
| City | FORT MILL |
| State | SC |
| Zip Code | 29715-8226 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1710968326 | Deborah A. Long | Optometrist | 1090 Spratt St, Fort Mill, SC 29715-8226 | 2005-11-10 |
| 1669852190 | Allyson Thomas | Optometrist | 1090 Spratt St, Fort Mill, SC 29715-8226 | 2015-05-29 |
| 1942638697 | Adam Richard Dutson | Optometrist | 1090 Spratt St, Fort Mill, SC 29715-8226 | 2013-10-16 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1710590278 | South Carolina Cvs Pharmacy LLC | Durable Medical Equipment & Medical Supplies | 1919 Springfield Parkway, Fort Mill, SD 29715 | 2020-08-25 |
| 1336759307 | Elizabeth Blakeney Sitton | Dentist | 3463 Us-21 #101, Fort Mill, SC 29715 | 2020-08-05 |
| 1730715293 | Fort Mill Dobys Bridge Dental LLC | Clinic/Center | 1500 Fort Mill Pkwy #108, Fort Mill, SC 29715 | 2020-03-17 |
| 1841728755 | Dennis Demetrius Williams | Specialist/Technologist | 1179 Madison Green Dr, Fort Mill, SC 29715 | 2017-05-23 |
| 1437684453 | Specialty Orthopaedics and Sports Medicine | Orthopaedic Surgery | 130 Crisanto Ave Ste B, Fort Mill, SC 29715 | 2017-04-27 |
| 1730624115 | Springfield Dentistry | Dentist | 452 Mercantile Place, Fort Mill, SC 29715 | 2016-12-21 |
| 1700335569 | Melby Transitions Mht LLC | Internal Medicine | 1148 Wessington Manor Ln, Fort Mill, SC 29715 | 2016-09-22 |
| 1629434071 | Palmetto Family Pharmacy Regent Park | Pharmacy | 1046 Regent Parkway, Suite 104, Fort Mill, SC 29715 | 2016-01-14 |
| 1619374220 | Rebecca Rowe | Speech-Language Pathologist | 8835 Gladden Hill Ln, Fort Mill, SC 29715 | 2014-11-25 |
| 1003248873 | Terri Hennessey | Speech-Language Pathologist | 1599 Farm House Dr, Fort Mill, SC 29715 | 2013-08-05 |
| Find all providers in zip 29715 | ||||
| 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 |
|---|---|---|---|---|
| 1134619802 | Myeyedr Optometry of South Carolina, LLC | Optometrist | 1826 Highway 160 W Ste 101, Fort Mill, SC 29708 | 2018-05-17 |
| 1679078430 | Hammad Mallick | Optometrist | 1083 Gennett Cir Apt 115, Fort Mill, SC 29715-6242 | 2018-03-26 |
| 1891048872 | Optique | Optometrist | 1510 Onyx Ridge Rd, Suite 101, Fort Mill, SC 29708 | 2012-10-16 |
| 1821381104 | Sara Lynn Suttles | Optometrist | 189 Mills Ln, Fort Mill, SC 29708-5706 | 2011-05-19 |
| 1437242484 | Andrea Pintaric Neff | Optometrist | 1701 First Baxter Crossing, Suite 203, Fort Mill, SC 29708 | 2006-10-02 |
| 1396708475 | Nikhil Bansal | Optometrist | 103 Stone Village Dr, Fort Mill, SC 29708-6489 | 2006-04-10 |
| 1710968326 | Deborah A. Long | Optometrist | 1090 Spratt St, Fort Mill, SC 29715-8226 | 2005-11-10 |
| 1861492407 | Larry F Jerge | Optometrist | 1151 Stonecrest Blvd., Fort Mill, SC 29708 | 2005-07-26 |
| 1225504806 | Brinton Family Eye Care, LLC | Optometrist | 8445 Charlotte Hwy, Fort Mill, SC 29707-7587 | 2018-10-22 |
| 1669852190 | Allyson Thomas | Optometrist | 1090 Spratt St, Fort Mill, SC 29715-8226 | 2015-05-29 |
| Find all providers in FORT MILL | ||||
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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.