DR. BENJAMIN DERRICK INGRAM (NPI# 1356301485) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1356301485 |
| Entity Type | Individual |
| Full Name | DR. BENJAMIN DERRICK INGRAM |
| Credential | OD |
| Practice Address |
4406-a Forest Drive Suite 1 Columbia SC 29206 |
| Mailing Address |
4406 - A Forest Drive Suite 1 Columbia SC 29206 |
| Practice Telephone | 8037827080 |
| Practice Fax Number | 8037440964 |
| Mailing Telephone | 8037827080 |
| Mailing Fax Number | 8037440964 |
| Enumeration Date | 2006-03-24 |
| Last Update Date | 2007-07-08 |
| Gender Code | M |
| Is Sole Proprietor | X |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 152W00000X | Optometrist | 1320 | SC | Eye and Vision Services Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| SC | D13206 | 05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1538291042 | Benjamin James Ingram | Family Medicine | 623 Gettysburg, Building 623, Tower Barracks Grafenwoehr, BAVARIA 92655 | 2007-03-10 |
| 1376539536 | Benjamin B Ingram | Dentist | 207 Rome Ave, Piedmont, AL 36272-1919 | 2005-09-23 |
| 1578086468 | Benjamin Ingram | Physician Assistant | 9200 W Wisconsin Ave, Milwaukee, WI 53226-3522 | 2017-07-21 |
| 1750611216 | Benjamin David Ingram | Physician Assistant | 307 Boatner Rd, Suite 114, Eglin Afb, FL 32542-1282 | 2010-01-06 |
| Street Address |
4406-A FOREST DRIVE SUITE 1 |
| City | COLUMBIA |
| State | SC |
| Zip Code | 29206 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1710403720 | Twila Wilson | Adult Companion | 5741 D Imboden Street, Columbia, SC 29206 | 2017-08-21 |
| 1164978961 | Uri Reisman | Social Worker | 3730 Rockbridge Rd, Columbia, SC 29206 | 2016-08-31 |
| 1902237621 | Ronald Patrick Pellicer | Counselor | 6941 N Trenholm Rd Ste F102, Columbia, SC 29206 | 2013-12-05 |
| 1316376791 | Laraine Kim Jenkins | Counselor | 5211 Trenholm Rd, Suite B, Columbia, SC 29206 | 2013-11-05 |
| 1437409802 | Charles B Roman IIi | Pharmacist | 4711-5 Forest Drive, Columbia, SC 29206 | 2012-09-13 |
| 1306129879 | Rickey Gene Ayers | Counselor | 1800 Forest Drive, C, Columbia, SC 29206 | 2011-09-21 |
| 1285924316 | Lexington County Health Services District, Inc. | Internal Medicine | 4540 Trenholm Road, Columbia, SC 29206 | 2011-04-11 |
| 1144547860 | Alicia K. Harvey | Counselor | 5115 Forest Plaza Suite D, The Art and Play Therapy Center of S.c., Columbia, SC 29206 | 2010-04-21 |
| 1669703880 | Crystal Coleman | Occupational Therapist | 5234 Circle Dr, Columbia, SC 29206 | 2010-01-28 |
| 1689896938 | Carolina Dental Associates, P.a. | Dentist | 5101 Forest Drive, Columbia, SC 29206 | 2007-05-03 |
| Find all providers in zip 29206 | ||||
| Taxonomy Code | 152W00000X |
| Grouping | Eye and Vision Services Providers |
| Classification | Optometrist |
| Doctors of optometry (ODs) are the primary health care professionals for the eye. Optometrists examine, diagnose, treat, and manage diseases, injuries, and disorders of the visual system, the eye, and associated structures as well as identify related systemic conditions affecting the eye. An optometrist has completed pre-professional undergraduate education in a college or university and four years of professional education at a college of optometry, leading to the doctor of optometry (O.D.) degree. Some optometrists complete an optional residency in a specific area of practice. Optometrists are eye health care professionals state-licensed to diagnose and treat diseases and disorders of the eye and visual system. |
| Notes: Source: American Optometric Association (AOA), approved by the AOA’s Board of Trustees, June 21, 2005. [7/1/2006: definition modified] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1447876040 | Rachel Cho | Optometrist | 8900 Columbia 100 Pkwy Ste L, Columbia, MD 21045-2336 | 2020-06-19 |
| 1982232922 | Katzen Medical Associates | Optometrist | 6325 Woodside Ct Ste 125, Columbia, MD 21046-3215 | 2020-03-27 |
| 1972135754 | Healthy Eyes Vision Group LLC | Optometrist | 1518 Pickens St, Columbia, SC 29201-3449 | 2020-02-10 |
| 1699257881 | Henry Gates | Optometrist | 1 Fort Jackson, Columbia, SC 29207-5000 | 2018-09-04 |
| 1316443146 | Eyes On The Lake LLC | Optometrist | 2914 Dreher Shoals Rd Ste A, Columbia, SC 29212-7909 | 2018-04-02 |
| 1356861025 | Lindsey Vallejo | Optometrist | 816 S James Campbell Boulevard, Columbia, TN 38401 | 2017-06-23 |
| 1639607930 | Valerie L. Gallo | Optometrist | 201 Harbison Blvd Ste 110, Columbia, SC 29212-2270 | 2017-05-31 |
| 1578001293 | Daniel & Max, LLC | Optometrist | 10110 Two Notch Rd, Columbia, SC 29223-4383 | 2017-02-01 |
| 1669832812 | Hirangi Patel | Optometrist | 4601 Forest Dr Ste C, Columbia, SC 29206-3122 | 2016-03-01 |
| 1801256466 | Myeyedr Optometry of Maryland, LLC | Optometrist | 6110a Dobbin Rd, Columbia, MD 21045-5843 | 2016-02-25 |
| Find all providers in COLUMBIA | ||||
Please comment or provide details below to improve the information on DR. BENJAMIN DERRICK INGRAM.
| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.