EYE COOPERATIVE


Address: 7821 St Andrews Road, #3183, Irmo, SC 29063
Phone: 8036612074

EYE COOPERATIVE (NPI# 1518328368) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1518328368
Entity Type Organization
Organization Name EYE COOPERATIVE
Other Organization Name ST ANDREWS COMMUNITY DEVELOPMENT CENTER
Practice Address 7821 St Andrews Road
#3183
Irmo
SC 29063
Mailing Address P O Box 3183
Irmo
SC 29063
Practice Telephone 8036612074
Practice Fax Number 8036368993
Mailing Telephone (803) 661-2074
Mailing Fax Number 8036368993
Enumeration Date 2016-03-08
Last Update Date 2017-07-03
Authorized Official Name KENGI MCGAHEE (PROGRAM MANAGER)
Authorized Official Telephone 8036612074
Authorized Official Credential MBA
Is Organization Subpart N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 251V00000X Voluntary or Charitable Agencies

Other Provider/Organization Names

Other Name Type Code
St Andrews Community Development Center Former Legal Business Name - Organization

Office Location

Street Address 7821 ST ANDREWS ROAD
#3183
City IRMO
State SC
Zip Code 29063

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1366922296 Jennie C Beym Speech-Language Pathologist 7 Tip Top Court, Irmo, SC 29063 2018-08-20
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1699268821 Shannon Marie Kelly Dentist 200 N Royal Tower Dr, Irmo, SC 29063 2018-06-12
1497243174 Anthony Batiste Thompson Jr. Behavior Technician 137 Chapelwhite Road, Irmo, SC 29063 2018-04-27
1578076022 Demario Sawyer Sr Ambulance 107 N Royal Tower Dr Ste C, Irmo, SC 29063 2017-11-07
1306365713 Dreher Shuler Student in an Organized Health Care Education/Training Program 205 River Creek Drive, Irmo, SC 29063 2017-09-18
1053833442 Tania Rodriguez Social Worker 30 Ash Court, Irmo, SC 29063 2017-07-07
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Taxonomy Information

Taxonomy Code 251V00000X
Grouping Agencies
Classification Voluntary or Charitable

Taxonomy Definition

Definition to come...

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1235502808 Community Initiatives, Inc. Voluntary or Charitable 929 Phoenix St, Greenwood, SC 29646-3248 2015-11-04
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Competitor

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City IRMO
Zip Code 29063

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Dataset Information

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.

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