UNIVERSITY SPECIALTY CLINICS - OPHTHALMOLOGY (NPI# 1942406434) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1942406434 |
| Entity Type | Organization |
| Organization Name | UNIVERSITY SPECIALTY CLINICS - OPHTHALMOLOGY |
| Practice Address |
4 Medical Park Rd Suite 100 Columbia SC 29203-6807 |
| Mailing Address |
3555 Harden Street Ext 15 Medical Park, Suite 300 Columbia SC 29203-6894 |
| Practice Telephone | 8034346836 |
| Practice Fax Number | 8034341581 |
| Mailing Telephone | 8035455022 |
| Mailing Fax Number | 8032560977 |
| Enumeration Date | 2007-06-22 |
| Last Update Date | 2014-02-07 |
| Authorized Official Name | WILLIAM D ANDERSON (CHIEF MEDICAL OFFICER) |
| Authorized Official Telephone | 8034346836 |
| Authorized Official Credential | M.D. |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 332H00000X | Eyewear Supplier (Equipment, not the service) | Suppliers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| SC | MEDICARE DME | 0368630003 | 01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1447282736 | University Specialty Clinics - Ophthalmology | Optometrist | Four Medical Park, Suite 100, Columbia, SC 29203-6863 | 2006-07-07 |
| 1669678140 | University Specialty Clinics - Ophthalmology | Eyewear Supplier (Equipment, not the service) | 100 Palmetto Health Pkwy, Suite 350, Columbia, SC 29212-1753 | 2007-06-22 |
| 1275561771 | University Specialty Clinics - Ophthalmology | Ophthalmology | 4 Medical Park Rd, Suite 100, Columbia, SC 29203-6863 | 2006-06-30 |
| Street Address |
4 MEDICAL PARK RD SUITE 100 |
| City | COLUMBIA |
| State | SC |
| Zip Code | 29203-6807 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1114981776 | Vytautas A Pakalnis | Ophthalmology | 4 Medical Park Rd, Suite 100, Columbia, SC 29203-6807 | 2006-04-12 |
| 1275561771 | University Specialty Clinics - Ophthalmology | Ophthalmology | 4 Medical Park Rd, Suite 100, Columbia, SC 29203-6863 | 2006-06-30 |
| 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 | 332H00000X |
| Grouping | Suppliers |
| Classification | Eyewear Supplier (Equipment, not the service) |
| An organization that provides spectacles, contact lenses, and other vision enhancement devices prescribed by an optometrist or ophthalmologist. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1194234849 | University of Maryland Eye Associates, P.a. | Eyewear Supplier (Equipment, not the service) | 5900 Waterloo Road, Suite 230, Columbia, MD 21045 | 2017-09-26 |
| 1154776433 | Costco Wholesale Corporation | Eyewear Supplier (Equipment, not the service) | 507 Piney Grove Rd, Columbia, SC 29210 | 2016-04-25 |
| 1013344969 | Four Sight | Eyewear Supplier (Equipment, not the service) | 10015 Old Columbia Rd Ste J135, Columbia, MD 21046-1741 | 2013-10-07 |
| 1740626068 | Usv Optical Inc. | Eyewear Supplier (Equipment, not the service) | 100 Columbiana Circle 102, Columbia, SC 29212-2231 | 2013-05-14 |
| 1821356049 | Usv Optical Inc. | Eyewear Supplier (Equipment, not the service) | 304 Forum Dr, Columbia, SC 29229-7939 | 2012-04-25 |
| 1073813606 | Emerging Vision | Eyewear Supplier (Equipment, not the service) | 10300 Little Patuxent Parkway, Columbia, MD 21044 | 2010-10-29 |
| 1053643528 | Eyemart Express | Eyewear Supplier (Equipment, not the service) | 201 Harbison Blvd, Columbia, SC 29212-2218 | 2010-02-08 |
| 1730315151 | Sansbury Eye Center | Eyewear Supplier (Equipment, not the service) | 121 Lucy Lane, Columbia, SC 29229 | 2009-06-01 |
| 1174773535 | Eye Concepts, LLC | Eyewear Supplier (Equipment, not the service) | 331 Killian Rd Ste B2, Columbia, SC 29203-8926 | 2008-09-23 |
| 1184872475 | Wal-mart Stores, Inc. | Eyewear Supplier (Equipment, not the service) | 2988 Burkesville Rd., Columbia, KY 42728 | 2008-08-29 |
| Find all providers in COLUMBIA | ||||
Please comment or provide details below to improve the information on UNIVERSITY SPECIALTY CLINICS - OPHTHALMOLOGY.
| 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.