CAROLINA GLAUCOMA AND VISION CENTER


Address: 1 Richland Medical Park Dr, Suite 210, Columbia, SC 29203-6834
Phone: 8037894144

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).

Provider Overview

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

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 207W00000X Ophthalmology 17330 SC Allopathic & Osteopathic Physicians

Other Provider Identifier

State Issuer Identifier Type Code
SC RAILROAD MEDICARE 180026568 01
SC GP1498 05

Office Location

Street Address 1 RICHLAND MEDICAL PARK DR
SUITE 210
City COLUMBIA
State SC
Zip Code 29203-6834

Providers in the same location

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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Providers in the same zip code

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
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Taxonomy Information

Taxonomy Code 207W00000X
Grouping Allopathic & Osteopathic Physicians
Classification Ophthalmology

Taxonomy Definition

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.

Providers in the same taxonomy and city

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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Competitor

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City COLUMBIA
Zip Code 29203

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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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