Columbia Eye Clinic Pa | |
1920 Pickens St Columbia SC 29201 | |
(803) 779-3070 | |
(803) 771-7639 |
Full Name | Columbia Eye Clinic Pa |
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Speciality | Clinic/Center |
Location | 1920 Pickens St, Columbia, South Carolina |
Authorized Official Name and Position | Langston Spotts (CEO) |
Authorized Official Contact | 8037793070 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
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Columbia Eye Clinic Pa Po Box 60371 Charlotte NC 28260-0371 Ph: (803) 779-3070 | Columbia Eye Clinic Pa 1920 Pickens St Columbia SC 29201 Ph: (803) 779-3070 |
NPI Number | 1720044514 |
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Provider Enumeration Date | 04/21/2006 |
Last Update Date | 08/17/2020 |
Medicare PECOS PAC ID | 8426069907 |
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Medicare Enrollment ID | O20060515000010 |
Identifier | Type | State | Issuer |
---|---|---|---|
1720044514 | NPI | - | NPPES |
PA0187 | Medicaid | SC |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
261Q00000X | Clinic/center | (* (Not Available)) | Primary |
Provider Name | Derek Lloyd Barker |
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Provider Type | Practitioner - Ophthalmology |
Provider Identifiers | NPI Number: 1982662847 PECOS PAC ID: 8325012578 Enrollment ID: I20070105000043 |
Provider Name | Donna Harder-smith |
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Provider Type | Practitioner - Ophthalmology |
Provider Identifiers | NPI Number: 1356397392 PECOS PAC ID: 6406850759 Enrollment ID: I20081112000394 |
Provider Name | Edward G Mintz |
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Provider Type | Practitioner - Ophthalmology |
Provider Identifiers | NPI Number: 1629030283 PECOS PAC ID: 6204731458 Enrollment ID: I20100519000607 |
Provider Name | Hal H Crosswell |
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Provider Type | Practitioner - Ophthalmology |
Provider Identifiers | NPI Number: 1922063064 PECOS PAC ID: 9436288974 Enrollment ID: I20100521000627 |
Provider Name | Charles D Finley |
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Provider Type | Practitioner - Ophthalmology |
Provider Identifiers | NPI Number: 1720041122 PECOS PAC ID: 3678585031 Enrollment ID: I20100706000100 |
Provider Name | Hal Holland Crosswell |
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Provider Type | Practitioner - Ophthalmology |
Provider Identifiers | NPI Number: 1639131295 PECOS PAC ID: 6800927922 Enrollment ID: I20100706000145 |
Provider Name | Lynn Hicks Snoddy |
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Provider Type | Practitioner - Ophthalmology |
Provider Identifiers | NPI Number: 1285697680 PECOS PAC ID: 8921139965 Enrollment ID: I20100708000318 |
Provider Name | Garner J Wild |
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Provider Type | Practitioner - Ophthalmology |
Provider Identifiers | NPI Number: 1902868565 PECOS PAC ID: 5496767857 Enrollment ID: I20100802000557 |
Provider Name | Rudolph M Newman |
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Provider Type | Practitioner - Ophthalmology |
Provider Identifiers | NPI Number: 1801858469 PECOS PAC ID: 4688708886 Enrollment ID: I20100810000320 |
Provider Name | William Fort Crosswell |
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Provider Type | Practitioner - Ophthalmology |
Provider Identifiers | NPI Number: 1457301996 PECOS PAC ID: 8820112782 Enrollment ID: I20100830000104 |
Provider Name | William Cain |
---|---|
Provider Type | Practitioner - Ophthalmology |
Provider Identifiers | NPI Number: 1902869308 PECOS PAC ID: 2769387919 Enrollment ID: I20110125001049 |
Provider Name | William Arnold Johnson |
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Provider Type | Practitioner - Ophthalmology |
Provider Identifiers | NPI Number: 1376506774 PECOS PAC ID: 5193932606 Enrollment ID: I20120416000532 |
Provider Name | Edward G Crosswell |
---|---|
Provider Type | Practitioner - Ophthalmology |
Provider Identifiers | NPI Number: 1194953596 PECOS PAC ID: 8325262868 Enrollment ID: I20140624000889 |
Provider Name | Derrick A Huey |
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Provider Type | Practitioner - Ophthalmology |
Provider Identifiers | NPI Number: 1730490970 PECOS PAC ID: 5395964274 Enrollment ID: I20140909001251 |
Provider Name | Stephen Cross |
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Provider Type | Practitioner - Ophthalmology |
Provider Identifiers | NPI Number: 1063737351 PECOS PAC ID: 5890932560 Enrollment ID: I20151222001196 |
Provider Name | Danlin J Fuller |
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Provider Type | Practitioner - Ophthalmology |
Provider Identifiers | NPI Number: 1407276769 PECOS PAC ID: 0547551723 Enrollment ID: I20180705001160 |
Provider Name | Joshua G Nunn |
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Provider Type | Practitioner - Ophthalmology |
Provider Identifiers | NPI Number: 1629489232 PECOS PAC ID: 3577780121 Enrollment ID: I20180911003595 |
Provider Name | Jae Youn Sarah Lee |
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Provider Type | Practitioner - Ophthalmology |
Provider Identifiers | NPI Number: 1881089571 PECOS PAC ID: 5193008068 Enrollment ID: I20190813003068 |
Provider Name | Jake Weiss |
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Provider Type | Practitioner - Optometry |
Provider Identifiers | NPI Number: 1760121206 PECOS PAC ID: 1052793569 Enrollment ID: I20220801000519 |
Provider Name | Nicolette Paige Ruta |
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Provider Type | Practitioner - Optometry |
Provider Identifiers | NPI Number: 1407595960 PECOS PAC ID: 0446632731 Enrollment ID: I20220803001362 |
Provider Name | Monique D Courtenay |
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Provider Type | Practitioner - Ophthalmology |
Provider Identifiers | NPI Number: 1316408883 PECOS PAC ID: 9638409287 Enrollment ID: I20231012001456 |
Palmetto Family Medicine Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 109 Barton Creek Ct, Columbia, SC 29229 Phone: 803-256-2286 Fax: 803-419-8430 | |
South Carolina Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 1320 Main St Ste 300, Columbia, SC 29201 Phone: 657-400-5180 | |
Northlake Family Medical Practice Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 3000 Ne Medical Park, Ste 101, Columbia, SC 29223 Phone: 803-419-5131 Fax: 803-419-5130 | |
Carolina Medical Group Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 3010 Farrow Rd, Suite 230, Columbia, SC 29203 Phone: 803-799-1284 Fax: 803-799-8148 | |
Lagniappe Medical Clinics, Llc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 74 Polo Rd, Columbia, SC 29223 Phone: 803-419-7780 Fax: 803-419-7781 | |
Five Points Pediatrics Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 1228 Harden St Ste B, Columbia, SC 29204 Phone: 803-748-7002 Fax: 803-252-5259 | |
Diabetes Educations Richland Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 9 Medical Park Suite 205, Palmetto Health Richland Diabetes Education, Columbia, SC 29203 Phone: 803-296-2548 Fax: 803-296-3040 |