| Dr Jean M Champion-martin, OD | |
|
332 Long Pointe Ln, Columbia, SC 29229-7569 | |
| (803) 419-8907 | |
| (803) 419-8908 |
| Full Name | Dr Jean M Champion-martin |
|---|---|
| Gender | Female |
| Speciality | Optometrist |
| Location | 332 Long Pointe Ln, Columbia, South Carolina |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1821163171 | NPI | - | NPPES |
| D11173 | Medicaid | SC |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 152W00000X | Optometrist | 1117 (South Carolina) | Primary |
| Provider Name | Look Pc |
|---|---|
| Provider Type | Part B Supplier - Clinic/group Practice |
| Provider Identifiers | NPI Number: 1003235656 PECOS PAC ID: 8022034503 Enrollment ID: O20051024000741 |
| Provider Name | Eye Care Associates Of Sc Llc |
|---|---|
| Provider Type | Part B Supplier - Clinic/group Practice |
| Provider Identifiers | NPI Number: 1679046569 PECOS PAC ID: 4587998802 Enrollment ID: O20190620000990 |
| Mailing Address | Practice Location Address |
|---|---|
| Dr Jean M Champion-martin, OD 332 Long Pointe Ln, Columbia, SC 29229-7569 Ph: (803) 419-8907 | Dr Jean M Champion-martin, OD 332 Long Pointe Ln, Columbia, SC 29229-7569 Ph: (803) 419-8907 |
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 |