DR. BONITA CHERICE MILES MACK (NPI# 1821218835) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1821218835 |
| Entity Type | Individual |
| Full Name | DR. BONITA CHERICE MILES MACK |
| Credential | O.D. |
| Practice Address |
2377 Dave Lyle Blvd National Vision Center Rock Hill SC 29730 |
| Mailing Address |
717 Allendale St Baltimore MD 21229-2006 |
| Practice Telephone | 8033669406 |
| Practice Fax Number | 8033660251 |
| Mailing Telephone | 4434185155 |
| Enumeration Date | 2007-05-01 |
| Last Update Date | 2015-01-12 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 152W00000X | Optometrist | 1744 | SC | Eye and Vision Services Providers |
| N | 152W00000X | Optometrist | MD1269 | MD | Eye and Vision Services Providers |
| Street Address |
2377 DAVE LYLE BLVD NATIONAL VISION CENTER |
| City | ROCK HILL |
| State | SC |
| Zip Code | 29730 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1386682037 | National Vision, Inc. | Eyewear Supplier (Equipment, not the service) | 2377 Dave Lyle Blvd, Rock Hill, SC 29730-7939 | 2006-06-03 |
| 1164838215 | Thuy B Tran | Pharmacist | 2377 Dave Lyle Blvd, Rock Hill, SC 29730-7939 | 2014-07-09 |
| 1497167241 | Jennifer Kohut | Pharmacist | 2377 Dave Lyle Blvd, Rock Hill, SC 29730-7939 | 2014-05-28 |
| 1285053660 | Kimberly Harrison Hawkins | Pharmacist | 2377 Dave Lyle Blvd, Rock Hill, SC 29730-7939 | 2014-04-14 |
| 1568489722 | Wal-mart Stores East Lp | Durable Medical Equipment & Medical Supplies | 2377 Dave Lyle Blvd, Rock Hill, SC 29730-7939 | 2006-07-16 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1972132116 | Jennifer D Dawkins | Health Educator | 151 S. Oakland Ave., Rock Hill, SC 29730 | 2020-04-08 |
| 1598312969 | Erinnae Cline | Counselor | 864 Springdale Road, Rock Hill, SC 29730 | 2019-08-21 |
| 1982175139 | A&s Humans Services LLC | Meals | 1111 Southland Dr, Rock Hill, NC 29730 | 2018-12-16 |
| 1437642824 | Embrace Clinical Services LLC | Social Worker | 331 East Main Streest, Rock Hill, SC 29730 | 2018-06-11 |
| 1558852384 | Affinity Health Center - Dental | Dentist | 500 Lakeshore Parkway, Rock Hill, SC 29730 | 2018-05-29 |
| 1942729603 | Carolina Therapy Solutions for Kids, LLC | Occupational Therapy Assistant | 458 Anvil Draw Pl, Rock Hill, SC 29730 | 2017-09-13 |
| 1245750041 | Revelation Home Health Care | In Home Supportive Care | 331 E. Main Street, Rock Hill, SC 29730 | 2017-06-22 |
| 1538696703 | Ivan Alexander Carrion | Dentist | 2427 Cross Pointe Dr Ste 101, Rock Hill, SC 29730 | 2017-05-17 |
| 1154861045 | Community Medicine Foundation, Inc | Clinic/Center | 1140 Saluda Street, Women's Health and Pediatric /adolescent Center, Rock Hill, SC 29730 | 2017-02-27 |
| 1912447996 | Carolinas Medical Center At Home, LLC | Home Health | 226 Northpark Drive, Suite 120, Rock Hill, SC 29730 | 2017-02-24 |
| Find all providers in zip 29730 | ||||
| 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 |
|---|---|---|---|---|
| 1053664581 | Pride Eyecare Pa | Optometrist | 1220 Ebenezer Rd, Rock Hill, SC 29732-2341 | 2012-10-22 |
| 1427346212 | Sabah Mian | Optometrist | 2301 Dave Lyle Blvd, Rock Hill, SC 29730-5289 | 2011-07-14 |
| 1427201474 | Marni Allison Levy-scanlon | Optometrist | 2377 Dave Lyle Blvd., Walmart Vision Center, Rock Hill, SC 29730 | 2008-11-03 |
| 1326233073 | Shalini L. Maharaj | Optometrist | 2474 Crosspointe Dr, Rock Hill, SC 29730-8185 | 2007-09-06 |
| 1003906140 | William R Hundley | Optometrist | 1220 Ebenezer Road, Rock Hill, SC 29732 | 2006-10-12 |
| 1659472637 | Craig P Murtha | Optometrist | 2368 Cherry Rd, Rock Hill, SC 29732-2165 | 2006-09-25 |
| 1225144124 | Brian Colletto | Optometrist | 356 Oakland Ave, Rock Hill, SC 29730-4064 | 2006-08-22 |
| 1710092309 | Nima Mazhari | Optometrist | 410 S Herlong Ave Ste 103, Rock Hill, SC 29732-8350 | 2006-08-21 |
| 1316922446 | Scott C Oliver | Optometrist | 406 N Wilson St, Rock Hill, SC 29730-4050 | 2005-12-13 |
| 1588647598 | Mark Wayne Foust | Optometrist | 1507 Ebenezer Rd, Rock Hill, SC 29732 | 2005-11-22 |
| Find all providers in ROCK HILL | ||||
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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.