CAROLINA GLAUCOMA AND VISION CENTER (NPI# 1700931979) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1700931979 |
Entity Type | Organization |
Organization Name | CAROLINA GLAUCOMA AND VISION CENTER |
Practice Address |
1 Richland Medical Park Dr Suite 210 Columbia SC 29203-6834 |
Practice Telephone | 8037894144 |
Practice Fax Number | 8037794146 |
Mailing Telephone | 8037894144 |
Mailing Fax Number | 8037794146 |
Enumeration Date | 2007-01-25 |
Last Update Date | 2009-09-09 |
Authorized Official Name | DR. ALRIC CHRISTOPHER BLAKE (OWNER) |
Authorized Official Telephone | 8037794144 |
Authorized Official Credential | M.D. |
Is Organization Subpart | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 207W00000X | Ophthalmology | 17330 | SC | Allopathic & Osteopathic Physicians |
State | Issuer | Identifier | Type Code |
---|---|---|---|
SC | RAILROAD MEDICARE | 180026568 | 01 |
SC | GP1498 | 05 |
Street Address |
1 RICHLAND MEDICAL PARK DR SUITE 210 |
City | COLUMBIA |
State | SC |
Zip Code | 29203-6834 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1134105760 | Divya Ahuja | Internal Medicine | 1 Richland Medical Park Dr, Suite 420, Columbia, SC 29203-6834 | 2005-12-15 |
1790079085 | Justin Henry Atwood | Internal Medicine | 1 Richland Medical Park Dr, Ste 300, Columbia, SC 29203-6834 | 2011-06-03 |
1679886881 | Department of Internal Medicine | Nurse Practitioner | 1 Richland Medical Park Dr, Suite 420, Columbia, SC 29203-6834 | 2010-07-16 |
1538327481 | James Aaron Grubbs | Internal Medicine | 1 Richland Medical Park Dr, Suite 420, Columbia, SC 29203-6834 | 2008-05-28 |
1699960294 | Jennifer R. Hucks | Internal Medicine | 1 Richland Medical Park Dr, Suite 300, Columbia, SC 29203-6834 | 2007-09-07 |
1407052822 | Sleepmed, Inc | Clinic/Center | 1 Richland Medical Park Dr, Columbia, SC 29203-6834 | 2007-06-22 |
1659588382 | Jonathan Black | Allergy & Immunology | 1 Richland Medical Park Dr, Suite 200, Columbia, SC 29203-6834 | 2007-05-16 |
1740316934 | Antoinette W. Rutherford | Internal Medicine | 1 Richland Medical Park Dr, Suite 300, Columbia, SC 29203 | 2007-02-24 |
1902875537 | Brandi R Newsome | Internal Medicine | 1 Richland Medical Park Dr, Suite 300, Columbia, SC 29203-6834 | 2006-03-16 |
1295703676 | Peter Louis Loper | Internal Medicine | 1 Richland Medical Park Dr, Suite 300, Columbia, SC 29203-6834 | 2006-03-10 |
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NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1609475284 | Matthew Leon Brigmon | Surgery | 2 Richland Medical Park, Suite 300, Columbia, SC 29203 | 2020-10-23 |
1730706839 | John James Gannon | Family Medicine | Prisma Health Medical Group Family Medicine, 3209 Colonial Drive, Columbia, SC 29203 | 2020-07-06 |
1790302362 | Klariz Teves Tucker | Internal Medicine | Internal Medcine Center, 1801 Sunset Drive, Columbia, SC 29203 | 2020-06-30 |
1811514482 | Esther Ruth Swan | Psychiatry & Neurology | Prisma Health General Psychiatry Center, 15 Medical Park, Ste 141, Columbia, SC 29203 | 2020-06-30 |
1447877014 | Jordan Kaitlyn Merrels | Psychiatry & Neurology | Prisma Health Medical Group General Psychiatry, 15 Medical Park, Ste 141, Columbia, SC 29203 | 2020-06-30 |
1306463187 | Jessica Leigh Watson | Psychiatry & Neurology | Prisma Health General Psychiatry, 15 Medical Park, Ste 141, Columbia, SC 29203 | 2020-06-29 |
1053938852 | Garrison Glenn Rice | Family Medicine | Prisma Health Medical Group Family Medical Center, 3209 Colonial Drive, Columbia, SC 29203 | 2020-06-29 |
1053938977 | Rachel Ellen Harper | Obstetrics & Gynecology | The Womens Center, 1801 Sunset Drive, Columbia, SC 29203 | 2020-06-26 |
1609493592 | Elizabeth Marie Kern | Orthopaedic Surgery | Prisma Health Medical Group Orthopedic Center, 2 Medical Park, Ste 105, Columbia, SC 29203 | 2020-06-26 |
1891312799 | Kathryn Victoria Steverson | Psychiatry & Neurology | Prisma Health Medical Group Psychiatry Center, 15 Medical Park, Ste 141, Columbia, SC 29203 | 2020-06-26 |
Find all providers in zip 29203 |
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 |
---|---|---|---|---|
1962020644 | Matthew Theodore Hirabayashi | Ophthalmology | University Hospital One Hospital Dr Dc052.00, Columbia, MO 65212-0001 | 2020-07-09 |
1508484288 | Travis Parker | Ophthalmology | University Hospital One Hospital Drive Dc 052.00, Columbia, MO 65212-0001 | 2020-07-09 |
1003437641 | Goel Vision Columbia | Ophthalmology | 8850 Columbia 100 Pkwy Ste 101, Columbia, MD 21045-2375 | 2020-05-06 |
1568083103 | Columbia Parkway Surgery Center LLC | Ophthalmology | 8850 Columbia 100 Pkwy Ste 102, Columbia, MD 21045-2375 | 2020-05-06 |
1952965493 | Eric Jiaming Zhang | Ophthalmology | University Hospital One Hospital Dr Dc.052.00, Columbia, MO 65212-0001 | 2019-04-30 |
1801236302 | Jason T Rodier | Ophthalmology | 3215 Wingate Court, Suite 102, Columbia, MO 65201-7214 | 2013-06-28 |
1093057630 | Maggie A Cardonell | Ophthalmology | 3215 Wingate Court, Ste 102, Columbia, MO 65201-7214 | 2013-03-21 |
1013257575 | Mohannad Al-samarraie | Ophthalmology | 3215 Wingate Ct, Suite 102, Columbia, MO 65201-7214 | 2013-02-21 |
1558608786 | Thompson & Sjaarda, P.a. | Ophthalmology | 9700 Patuxent Woods Dr Ste 110, Columbia, MD 21046-2938 | 2013-01-08 |
1912299884 | Timothy D Mcgarity Md PC | Ophthalmology | 1410 Forum Katy Pkwy., Suite 100, Columbia, MO 65203-2191 | 2011-05-10 |
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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.