| Eye Associates Of Columbia Inc | |
|
470 Town Center Pl Ste 5 Columbia SC 29229-7957 | |
| (803) 784-2010 | |
| (803) 784-2010 |
| Full Name | Eye Associates Of Columbia Inc |
|---|---|
| Speciality | Clinic/Center |
| Location | 470 Town Center Pl Ste 5, Columbia, South Carolina |
| Authorized Official Name and Position | Bradley Powers (PRESIDENT) |
| Authorized Official Contact | 7313078493 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Eye Associates Of Columbia Inc 470 Town Center Pl Ste 5 Columbia SC 29229-7957 Ph: (803) 784-2010 | Eye Associates Of Columbia Inc 470 Town Center Pl Ste 5 Columbia SC 29229-7957 Ph: (803) 784-2010 |
| NPI Number | 1801303839 |
|---|---|
| Provider Enumeration Date | 12/28/2017 |
| Last Update Date | 10/10/2024 |
| Medicare PECOS PAC ID | 1153652532 |
|---|---|
| Medicare Enrollment ID | O20191016002041 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1801303839 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261Q00000X | Clinic/center | 1967 (South Carolina) | Primary |
| Provider Name | Bradley H Powers |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1881141562 PECOS PAC ID: 6204100084 Enrollment ID: I20170918001077 |
| Provider Name | Erin Elizabeth Walsh |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1255825709 PECOS PAC ID: 8224386313 Enrollment ID: I20180807000054 |
| Provider Name | Jenna Larocque |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1306295274 PECOS PAC ID: 7315232790 Enrollment ID: I20210422001083 |
| Provider Name | Jill Sellner |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1073142774 PECOS PAC ID: 8921400334 Enrollment ID: I20210707003863 |
| Provider Name | Moriah Zuckerman |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1598293615 PECOS PAC ID: 5597034793 Enrollment ID: I20210730001577 |
| Provider Name | Tyler Thornton |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1568813806 PECOS PAC ID: 0547548596 Enrollment ID: I20240213003664 |
| Provider Name | Daniel Greathouse |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1841640489 PECOS PAC ID: 5395189187 Enrollment ID: I20240220003705 |
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