Benjamin Derrick Ingram in Columbia - Optometrist

Benjamin Derrick Ingram - NPI 1356301485

Benjamin Derrick Ingram is a Optometrist in Columbia, South Carolina. Benjamin Derrick Ingram practices all healthcare services and medical treatments related to Optometrist. The NPI Number for Benjamin Derrick Ingram is 1356301485. The last update date is 2007-07-08.

Benjamin Derrick Ingram's current location address is 4406 - A Forest Drive, Columbia, South Carolina. You can contact this provider via phone number 8037827080 and fax number 8037440964. The mailing address for Benjamin Derrick Ingram is 4406 - A Forest Drive, Columbia, South Carolina. To know further, please read the information below!

Provider Profile Detail

Provider Name Benjamin Derrick Ingram
Address 4406 - A Forest Drive, Columbia, South Carolina
Phone Number 8037827080
Fax Number 8037440964
Sole Proprietor X
Credentials OD

NPI Number Detail

NPI Number 1356301485
Provider Enumeration Date 2006-03-24
Last Updated Date 2007-07-08

Provider Mailing Address Detail

Address 4406 - A Forest Drive
City Columbia
State South Carolina (SC)
Post Code 29206
Phone Number 8037827080
Fax Number 8037440964

Provider's Primary Taxonomy Detail

Speciality Optometrist
Taxonomy 152W00000X
Licence No 1320
Definition:
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

Provider's Other Legacy Identifiers

Identifier Identifier Type Identifier State Identifier Issuer
D13206 SC --

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FAQs about Benjamin Derrick Ingram

What is the Benjamin Derrick Ingram's unique identification number?

The Benjamin Derrick Ingram has been assigned the NPI (National Provider Identifier) Number 1356301485 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code serves as a unique identifier for the organization.

Could you please share the complete physical address where Benjamin Derrick Ingram is geographically located?

The Benjamin Derrick Ingram is physically situated at the following location: 4406 - A Forest Drive, Columbia, SC, 29206.

What is the Benjamin Derrick Ingram's area of specialization and corresponding taxonomy classification?

The Benjamin Derrick Ingram's specialty field is Optometrist, and it falls under the taxonomy code 152W00000X, which categorizes healthcare providers based on their specialties.

On what date did Benjamin Derrick Ingram receive its 1356301485 assignment from the Centers for Medicare & Medicaid Services?

The Benjamin Derrick Ingram was assigned its 1356301485 on 2006-03-24, which is the date when this unique identifier was issued to the organization by the Centers for Medicare & Medicaid Services.

As of what date was the information pertaining to Benjamin Derrick Ingram, such as address, specialty, and other details, last reviewed and confirmed to be accurate?

The information related to Benjamin Derrick Ingram, including its address, specialty, and other relevant details, was last reviewed and confirmed to be accurate on 2007-07-08.

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