Carolina Retina Center P.A. in Columbia - Ophthalmology
Carolina Retina Center P.A. - NPI 1205892783
Carolina Retina Center P.A. is a Ophthalmology in Columbia, South Carolina. Carolina Retina Center P.A. practices all healthcare services and medical treatments related to Ophthalmology. The NPI Number for Carolina Retina Center P.A. is 1205892783. The last update date is 2017-08-04.
Carolina Retina Center P.A.'s current location address is 7620 Trenholm Road Ext, Columbia, South Carolina. You can contact this provider via phone number 8037367200 and fax number 8037362116. The mailing address for Carolina Retina Center P.A. is 7620 Trenholm Road Ext, Columbia, South Carolina. To know further, please read the information below!
Provider Profile Detail
| Provider Organization | Carolina Retina Center P.A. |
|---|---|
| Address | 7620 Trenholm Road Ext, Columbia, South Carolina |
| Phone Number | 8037367200 |
| Fax Number | 8037362116 |
| Sole Proprietor | -- |
| Credentials | -- |
Authorized Official
| Title or Position | PRESIDENT |
|---|---|
| Authorized Official Name | Gross Glenn Jeffrey |
| Credentials | M.D. |
| Telephone Number | 8037367200 |
NPI Number Detail
| NPI Number | 1205892783 |
|---|---|
| Provider Enumeration Date | 2006-04-25 |
| Last Updated Date | 2017-08-04 |
Provider Mailing Address Detail
| Address | 7620 Trenholm Road Ext |
|---|---|
| City | Columbia |
| State | South Carolina (SC) |
| Post Code | 292231718 |
| Phone Number | 8037367200 |
| Fax Number | 8037362116 |
Provider's Primary Taxonomy Detail
| Speciality | Ophthalmology |
|---|---|
| Taxonomy | 207W00000X |
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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 incl |
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Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| GP1780 | SC | -- |
Post Comment/ Review Below
What is the unique provider identifier assigned to Carolina Retina Center P.A.?
The Carolina Retina Center P.A. has been issued the NPI (National Provider Identifier) 1205892783 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code is a unique identification number for healthcare providers.
Could you please share the complete physical address where Carolina Retina Center P.A. is geographically located?
The Carolina Retina Center P.A. is physically situated at the following location: 7620 Trenholm Road Ext, Columbia, SC, 292231718.
What is Carolina Retina Center P.A.'s area of expertise and its corresponding taxonomy classification?
The Carolina Retina Center P.A.'s field of specialization is Ophthalmology, and it falls under the taxonomy code 207W00000X, which categorizes healthcare providers based on their areas of practice.
On what date did the Carolina Retina Center P.A. receive the assignment of its 1205892783 from the Centers for Medicare & Medicaid Services?
The Carolina Retina Center P.A. was issued its 1205892783 by the Centers for Medicare & Medicaid Services on 2006-04-25.
As of what date were the details pertaining to Carolina Retina Center P.A. last refreshed?
The information related to the Carolina Retina Center P.A., including its address, specialty, and other relevant details, was last updated on 2017-08-04.