MISS JUSTINE MARIE SIEGERS (NPI# 1740592237) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1740592237 |
| Entity Type | Individual |
| Full Name | MISS JUSTINE MARIE SIEGERS |
| Credential | O.D. |
| Practice Address |
121 Lucy Ln Columbia SC 29229-7835 |
| Mailing Address |
Po Box 1107 Irmo SC 29063 |
| Practice Telephone | 8032172550 |
| Practice Fax Number | 8032172548 |
| Mailing Telephone | 8037812123 |
| Mailing Fax Number | 8037490183 |
| Enumeration Date | 2010-07-13 |
| Last Update Date | 2010-07-13 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 152WC0802X |
Optometrist Specialization: Corneal and Contact Management |
SC1603 | SC | Eye and Vision Services Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| SC | OPTOMETRIST LICENSE | SC1603 | 01 |
| Street Address |
121 LUCY LN |
| City | COLUMBIA |
| State | SC |
| Zip Code | 29229-7835 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1578120523 | Michele Davidson Newman | Technician/Technologist | 121 Lucy Ln, Columbia, SC 29229-7835 | 2019-05-24 |
| 1447785423 | Sansbury Vision Services LLC | Optometrist | 121 Lucy Ln, Columbia, SC 29229-7835 | 2017-04-27 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1194332619 | Candid South Carolina, P.C. | Dentist | 136-4 Forum Drive #a20, Columbia, SC 29229 | 2020-09-29 |
| 1275166761 | Isis Marie Pearson | Behavior Technician | 4611 Hardscrabble Rd, #239, Columbia, SC 29229 | 2020-02-13 |
| 1083254338 | Lintiya Mccleary | Behavior Technician | 1048 Wildewood Center Dr, Columbia, SC 29229 | 2020-01-14 |
| 1538702873 | Genuine Care LLC | Home Health Aide | 112 Denby Cir, Columbia, SC 29229 | 2019-10-18 |
| 1588218028 | John Calvin Thorne Iv | Pharmacist | 175 Forum Drive, Columbia, SC 29229 | 2019-08-01 |
| 1801303839 | Eye Associates of Columbia Inc | Clinic/Center | 470-5 Town Center Pl, Lenscrafters, Columbia, SC 29229 | 2017-12-28 |
| 1508385469 | Palmetto Community Group | Counselor | 402 Nautique Circle, Columbia, SC 29229 | 2017-09-12 |
| 1245754472 | Fernandez Interpreter & Translator Solutions | Interpreter | 140 Rivendale Drive, Columbia, SC 29229 | 2017-07-30 |
| 1770935744 | Yasmine Gamil Gabr | Family Medicine | 103 Summit Centre Drive, Columbia, SC 29229 | 2016-07-01 |
| 1386095164 | Mack's Loving Care | Home Health | 55 Crooked Creek Place, Columbia, SC 29229 | 2016-06-23 |
| Find all providers in zip 29229 | ||||
| Taxonomy Code | 152WC0802X |
| Grouping | Eye and Vision Services Providers |
| Classification | Optometrist |
| Specialization | Corneal and Contact Management |
| The professional activities performed by an Optometrist related to the fitting of contact lenses to an eye, ongoing evaluation of the cornea’s ability to sustain successful contact lens wear, and treatment of any external eye or corneal condition which can affect contact lens wear. |
| Notes: Source: American Optometric Association [1/1/2009: added definition, added source] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1023192853 | William Drew Dellande | Optometrist | 111 E Broadway, Suite 310, Columbia, MO 65203-4208 | 2006-10-25 |
| 1346334166 | Amir Sahba Jalali | Optometrist | 2011 Corona Rd, Ste 201, Columbia, MO 65203-2548 | 2006-10-03 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1598923955 | Dr. H. G. Sims, Optometrist | Optometrist | 353 E Blackstock Rd Ste A, Spartanburg, SC 29301-3785 | 2008-06-01 |
| 1275608499 | Norris Rick Philbeck | Optometrist | 9270 N Highway 17, Mc Clellanville, SC 29458-9422 | 2006-11-22 |
| 1477588614 | Kenneth Norman Sawyer IIi | Optometrist | 360 Pelham Rd, Greenville, SC 29615 | 2006-07-12 |
| 1609849389 | Kathleen A. Clary | Optometrist | 10 William Pope Dr Ste 6, Bluffton, SC 29909-7550 | 2006-02-11 |
| 1952305211 | Joseph Edwin Hopkins | Optometrist | 3319 N Main St, Anderson, SC 29621-4113 | 2005-06-01 |
| 1902357791 | Boston Perkins | Optometrist | 1945 W Palmetto St, Suite 111, Florence, SC 29501-3919 | 2016-10-17 |
| 1861803520 | Eyes Over Carolina PC | Optometrist | 1150 S 4th St, Hartsville, SC 29550-0705 | 2014-05-15 |
| 1376787226 | Dr. Gary Shepard, PC | Optometrist | 2035 Whiskey Rd, Walmart Vision Center, Aiken, SC 29803-7956 | 2009-04-22 |
| 1982842308 | Eye Care Specialties Group - West Ashley | Optometrist | 3531 Mary Ader Ave, Suite B, Charleston, SC 29414-5896 | 2009-01-22 |
| 1184890873 | Dukes Eyecare LLC | Optometrist | 929 N Main St, Lancaster, SC 29720-2188 | 2008-05-02 |
| 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.