| Palmetto Optometry Associates, Pa | |
|
470 Town Center Pl Ste 5, Village At Sand Hill, Columbia, SC 29229-7957 | |
| (803) 865-1211 | |
| Not Available |
| Full Name | Palmetto Optometry Associates, Pa |
|---|---|
| Type | Facility |
| Speciality | Optometrist |
| Location | 470 Town Center Pl Ste 5, 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 |
|---|---|---|---|
| 1891849006 | NPI | - | NPPES |
| 8425 | Other | SC | MEDICARE |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 152W00000X | Optometrist | 1333 (South Carolina) | Primary |
| Provider Name | Christian K Benner |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1902860323 PECOS PAC ID: 5890709794 Enrollment ID: I20060203000006 |
| Provider Name | Joi Lynn Tyler |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1336127505 PECOS PAC ID: 3173708591 Enrollment ID: I20110429000253 |
| Provider Name | Dennis L Randolph |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1568431252 PECOS PAC ID: 1456302173 Enrollment ID: I20140210001757 |
| Provider Name | Jarrod Ross Nigrelli |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1083104962 PECOS PAC ID: 4981950789 Enrollment ID: I20180710001196 |
| Mailing Address | Practice Location Address |
|---|---|
| Palmetto Optometry Associates, Pa 470 Town Center Pl Ste 5, Village At Sand Hill, Columbia, SC 29229-7957 Ph: (803) 865-1211 | Palmetto Optometry Associates, Pa 470 Town Center Pl Ste 5, Village At Sand Hill, Columbia, SC 29229-7957 Ph: (803) 865-1211 |
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 |