EDWARD GUSTAVO MINTZ (NPI# 1629030283) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1629030283 |
| Entity Type | Individual |
| Full Name | EDWARD GUSTAVO MINTZ |
| Credential | MD |
| Practice Address |
100 Palmetto Park Blvd Lexington SC 29072 |
| Mailing Address |
Po Box 60371 Charlotte NC 28260-0371 |
| Practice Telephone | 8038060080 |
| Practice Fax Number | 8033560668 |
| Mailing Telephone | 8038060080 |
| Mailing Fax Number | 8033560668 |
| Enumeration Date | 2006-04-06 |
| Last Update Date | 2020-08-17 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207W00000X | Ophthalmology | 16570 | SC | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| SC | 165706 | 05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1669444311 | Edward Lester Mintz | Podiatrist | 81 Grand Ave, #1e, Englewood, NJ 07631-3530 | 2006-02-06 |
| 1013116334 | Edward Paul Mintz | Internal Medicine | 8330 Naab Rd Ste 340, Indianapolis, IN 46260-2279 | 2007-07-17 |
| 1083660211 | Edward Mintz | Emergency Medicine | 259 1st St, Mineola, NY 11501-3957 | 2006-05-26 |
| Street Address |
100 PALMETTO PARK BLVD |
| City | LEXINGTON |
| State | SC |
| Zip Code | 29072 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1164637534 | Columbia Eye Clinic Pa | Eyewear Supplier (Equipment, not the service) | 100 Palmetto Park Blvd, Lexington, SC 29072 | 2007-05-11 |
| 1760573984 | Columbia Eye Clinic Pa | Ophthalmology | 100 Palmetto Park Blvd, Lexington, SC 29072 | 2006-09-27 |
| 1720041122 | Charles David Finley | Ophthalmology | 100 Palmetto Park Blvd, Lexington, SC 29072 | 2006-04-08 |
| 1902868565 | Garner Johnson Wild | Ophthalmology | 100 Palmetto Park Blvd, Lexington, SC 29072 | 2006-04-06 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1700484821 | Grace Physicians Services | Clinic/Center | 1483 Old Cherokee Road, Lexington, SC 29072 | 2020-10-12 |
| 1750995007 | Trinity Health and Wellness | Clinic/Center | 1483 Old Cherokee Rd, Lexington, SC 29072 | 2020-09-03 |
| 1730727629 | Erika Watts | Occupational Therapist | 100 Tarrar Springs Road, Sped, Lexington, SC 29072 | 2019-12-11 |
| 1194380600 | Lexington County Health Services District, Inc. | Clinic/Center | 154 Saluda Pointe Ct, Lexington, SC 29072 | 2019-05-09 |
| 1962973768 | William R. Key | Counselor | Lexington Community Mental Health Center, 301 Palmetto Park Boulevard, Lexington, SC 29072 | 2018-12-06 |
| 1639651961 | Lindsey Terry | Social Worker | 108 Palmetto Pk. Boulveard, Suite D, Lexington, SC 29072 | 2018-09-04 |
| 1922594126 | Dental Professional of South Carolina, P.C. | Dentist | 2448 Augusta Hwy, Lexington, SC 29072 | 2018-07-11 |
| 1598251605 | Lynn Marceline Beckett-lowe | Nurse Practitioner | 124 Pink Camellia Lane, Lexington, SC 29072 | 2018-07-02 |
| 1083120620 | Diana Reiss | Counselor | 714 S Lake Drive, 120, Lexington, SC 29072 | 2017-12-19 |
| 1649781857 | Constance Jean Lynch | Occupational Therapist | 800 North Lake Boulevard, Lexington, SC 29072 | 2017-10-14 |
| Find all providers in zip 29072 | ||||
| Taxonomy Code | 207W00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Ophthalmology |
| An ophthalmologist has the knowledge and professional skills needed to provide comprehensive eye and vision care. Ophthalmologists are medically trained to diagnose, monitor and medically or surgically treat all ocular and visual disorders. This includes problems affecting the eye and its component structures, the eyelids, the orbit and the visual pathways. In so doing, an ophthalmologist prescribes vision services, including glasses and contact lenses. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definiton added, source added; 7/1/2011: modified source] - Additional Resources: American Board of Ophthalmology, 2007. http://www.abop.org/. American Osteopathic Board of Ophthalmology and Otolaryngology, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Ophthalmology. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Ophthalmology and Otolaryngology. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1588026181 | Michael S Tanner | Ophthalmology | 2720 Old Rosebud Rd Ste 110, Lexington, KY 40509-8005 | 2016-03-23 |
| 1609282375 | James Matthew Huffman | Ophthalmology | 120 N Eagle Creek Dr Ste 431, Lexington, KY 40509 | 2014-07-02 |
| 1609212448 | Jessica Erin Weinstein | Ophthalmology | Uk Eye Clinic, 110 Conn Ter Ste 550, Lexington, KY 40508-3206 | 2013-05-20 |
| 1598058182 | Marla Davis | Ophthalmology | 740 S Limestone St Ste C-300, Lexington, KY 40536-0001 | 2011-05-16 |
| 1215161153 | Gavin Wade Davis | Ophthalmology | 4723 Sunset Blvd Ste A, Lexington, SC 29072-9151 | 2009-05-06 |
| 1942455423 | Nathan Christopher Steinle | Ophthalmology | 120 N Eagle Creek Dr Ste C, Lexington, KY 40509-1827 | 2008-11-25 |
| 1538312202 | Robert Steven Baker | Ophthalmology | 220 Lexington Green Circle, Suite 120, Lexington, KY 40503-3333 | 2008-10-28 |
| 1497929251 | John Hill Saunders Psc | Ophthalmology | 1517 Nicholasville Rd Ste 101, Lexington, KY 40503 | 2008-04-14 |
| 1902076714 | Physician's Eye Center, Psc | Ophthalmology | 1701 Nicholasville Rd, Lexington, KY 40503-1403 | 2008-03-07 |
| 1134261712 | Randol Webb Hooper | Ophthalmology | 4305 Watertrace Ct, Lexington, KY 40515-6016 | 2007-02-12 |
| Find all providers in LEXINGTON | ||||
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| 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.