COLUMBIA EYE CLINIC PA (NPI# 1720044514) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1720044514 |
| Entity Type | Organization |
| Organization Name | COLUMBIA EYE CLINIC PA |
| Practice Address |
1920 Pickens St Columbia SC 29201 |
| Mailing Address |
Po Box 60371 Charlotte NC 28260-0371 |
| Practice Telephone | 8037793070 |
| Practice Fax Number | 8037717639 |
| Mailing Telephone | 8037793070 |
| Mailing Fax Number | 8037717639 |
| Enumeration Date | 2006-04-21 |
| Last Update Date | 2020-08-17 |
| Authorized Official Name | LANGSTON SPOTTS (CEO) |
| Authorized Official Telephone | 8037793070 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261Q00000X | Clinic/Center | Ambulatory Health Care Facilities |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| SC | PA0187 | 05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1164637534 | Columbia Eye Clinic Pa | Eyewear Supplier (Equipment, not the service) | 100 Palmetto Park Blvd, Lexington, SC 29072 | 2007-05-11 |
| 1760573984 | Columbia Eye Clinic Pa | Ophthalmology | 100 Palmetto Park Blvd, Lexington, SC 29072 | 2006-09-27 |
| Street Address |
1920 PICKENS ST |
| City | COLUMBIA |
| State | SC |
| Zip Code | 29201 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1639131295 | Hal Holland Crosswell IIi | Ophthalmology | 1920 Pickens St, Columbia, SC 29201 | 2006-04-06 |
| 1881089571 | Jae Youn Sarah Lee | Ophthalmology | 1920 Pickens St, Columbia, SC 29201-2632 | 2015-03-31 |
| 1629489232 | Joshua Gray Nunn | Internal Medicine | 1920 Pickens St, Columbia, SC 29201 | 2014-05-16 |
| 1063737351 | Stephen Aloysius Cross | Ophthalmology | 1920 Pickens St, Columbia, SC 29201-2632 | 2010-03-30 |
| 1720204662 | Columbia Eye Clinic, Pa | Eyewear Supplier (Equipment, not the service) | 1920 Pickens St, Columbia, SC 29201-2632 | 2007-04-18 |
| 1720175573 | Columbia Eye Surgery Center Inc | Clinic/Center | 1920 Pickens St, Columbia, SC 29201 | 2006-10-05 |
| 1467468470 | Coy L Garrick | Nurse Anesthetist, Certified Registered | 1920 Pickens St, Columbia, SC 29201 | 2006-07-31 |
| 1376559385 | Mary O Polk | Nurse Anesthetist, Certified Registered | 1920 Pickens St, Columbia, SC 29201 | 2006-07-31 |
| 1700892718 | Brenda J Mack | Nurse Anesthetist, Certified Registered | 1920 Pickens St, Columbia, SC 29201 | 2006-07-31 |
| 1427062967 | Tyson Forrester | Nurse Anesthetist, Certified Registered | 1920 Pickens St, Columbia, SC 29201 | 2006-07-28 |
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| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1366049421 | Souzan Moslehshirazi | Behavior Technician | 1320 Main Street Suite 300, Colombia, SC 29201 | 2020-10-02 |
| 1295353936 | Kayla Faylyn Nicole Mckenzie | Specialist/Technologist | 1905 Southern Drive, Unit 1905a, Columbia, SC 29201 | 2020-07-09 |
| 1548887128 | Casania's Caring Hands,llc | Home Health Aide | 1113 Belleview Street, 105, Columbia, SC 29201 | 2020-06-30 |
| 1639719909 | Benjamin Clark Watson | Acupuncturist | 1825 Sumter St., Columbia, SC 29201 | 2020-01-14 |
| 1588217574 | Aneika Daley | Specialist/Technologist | 1211 Wheat St, Columbia, SC 29201 | 2019-07-19 |
| 1447803531 | Gillian Taylor Shaughnessy | Specialist/Technologist | 147 South Marion St, Columbia, SC 29201 | 2019-07-18 |
| 1417417619 | Maria Nelson | Behavior Technician | 320 Main St Suite 300, Columbia, SC 29201 | 2019-03-22 |
| 1679041297 | Nathaniel Carl Stocker | Nurse Practitioner | 1614 Main Street, Suite C, Sc House Calls Inc, Columbia, SC 29201 | 2018-11-13 |
| 1558852855 | The Practice | Family Medicine | 1910 Gregg Street, Columbia, SC 29201 | 2018-05-22 |
| 1871095836 | Kadesjah Samuels | Behavior Technician | 1320 Main Street, Suite 300, Columbia, SC 29201 | 2018-03-06 |
| Find all providers in zip 29201 | ||||
| Taxonomy Code | 261Q00000X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| A facility or distinct part of one used for the diagnosis and treatment of outpatients. "Clinic/Center" is irregularly defined, sometimes being limited to organizations serving specialized treatment requirements or distinct patient/client groups (e.g., radiology, poor, and public health). |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1497302152 | Holistic Pediatric Ot, Inc. | Clinic/Center | 1606 E Nancy Ct, Columbia, MO 65201-9359 | 2019-08-19 |
| 1497249874 | Testing | Clinic/Center | 4100 N Main St Ste 104, Columbia, SC 29203-5800 | 2018-06-19 |
| 1801303839 | Eye Associates of Columbia Inc | Clinic/Center | 470-5 Town Center Pl, Lenscrafters, Columbia, SC 29229 | 2017-12-28 |
| 1285176727 | Intrinsic Chiropractic and Wellness Clinic, LLC | Clinic/Center | 1825 Barnwell St, Columbia, SC 29201-2601 | 2016-11-15 |
| 1285028449 | The Columbia Free Medical Clinic, Inc. | Clinic/Center | 1875 Harden Street, Columbia, SC 29204 | 2015-03-26 |
| 1265784912 | Aids Healthcare Foundation | Clinic/Center | 4100 N Main St Ste 102, Columbia, SC 29203-5800 | 2012-10-04 |
| 1902165467 | Medcare Urgent Care Center Garners Ferry, LLC | Clinic/Center | 7418 Garners Ferry Road, Columbia, SC 29209 | 2012-05-03 |
| 1700166360 | Neurology Clinic of Maryland, Inc. | Clinic/Center | 10770 Hickory Ridge Rd, Columbia, MD 21044-3646 | 2011-08-26 |
| 1659682938 | Walk In Medical Clinic | Clinic/Center | 900 Rain Forest Pkwy Ste B, Columbia, MO 65202-3796 | 2010-07-01 |
| 1225210420 | Grant Chiropractic Center, Inc | Clinic/Center | 908 Russell Rd, Columbia, KY 42728-1036 | 2007-11-29 |
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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.