| Dr Dorothy Park & Associates | |
|
1818 Hampton St, Columbia, SC 29201-3534 | |
| (803) 254-6306 | |
| (803) 771-6745 |
| Full Name | Dr Dorothy Park & Associates |
|---|---|
| Type | Facility |
| Speciality | Optometrist |
| Location | 1818 Hampton St, Columbia, South Carolina |
| Accepts Medicare Assignments | Medicare enrolled and accepts medicare insurance. Providers at this facility may prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1902828585 | NPI | - | NPPES |
| DO8588 | Medicaid | SC |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 152W00000X | Optometrist | SC858 (South Carolina) | Primary |
| Provider Name | Dorothy J Park |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1932183852 PECOS PAC ID: 4880664036 Enrollment ID: I20120125000539 |
| Provider Name | Walter S Berry |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1609285006 PECOS PAC ID: 8123336930 Enrollment ID: I20150928002915 |
| Mailing Address | Practice Location Address |
|---|---|
| Dr Dorothy Park & Associates 1818 Hampton St, Columbia, SC 29201-3534 Ph: (803) 254-6306 | Dr Dorothy Park & Associates 1818 Hampton St, Columbia, SC 29201-3534 Ph: (803) 254-6306 |
Bettina L Gary, OD Optometrist Medicare: Medicare Enrolled Practice Location: 7539 Garners Ferry Rd, Columbia, SC 29209 Phone: 803-779-9313 Fax: 803-779-9551 | |
Vista Vision Optometrist Medicare: Medicare Enrolled Practice Location: 1513 Gregg St, Columbia, SC 29201 Phone: 803-257-4951 | |
Eyeco Optometrist Medicare: Medicare Enrolled Practice Location: 332 Long Pointe Ln, Columbia, SC 29229 Phone: 803-419-8907 | |
Dr. Jordan Lee Ellis Alexander, O.D. Optometrist Medicare: Not Enrolled in Medicare Practice Location: 470 Town Center Pl, B125 Lenscrafters, Columbia, SC 29229 Phone: 803-865-3901 | |
Dr. Alexis Noelle Broussard, OD Optometrist Medicare: Not Enrolled in Medicare Practice Location: 280 Harbison Blvd Ste T, Columbia, SC 29212 Phone: 803-732-9200 | |
Dr. Mohamed Shabir Bharadia, OD Optometrist Medicare: Medicare Enrolled Practice Location: 1326 Bush River Rd, At Walmart Vision Center, Columbia, SC 29210 Phone: 803-750-4949 Fax: 803-750-7172 | |
Dr. Krystal Leigh Berthelette, OD Optometrist Medicare: Not Enrolled in Medicare Practice Location: 5420 Forest Dr, Columbia, SC 29206 Phone: 803-790-4600 |