Active NPI
DRS Eyecare, Inc.
- Optometrist
- Columbia, SC
National Provider Identifier
1043427776
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Optometrist
- Legal business name
- DRS EYECARE, INC.
- Practice address
- 620 Gervais St
Suite B
Columbia, SC 29201-3048 - Phone
- (803) 779-1001
- Fax
- (803) 779-1089
- NPI assigned
- May 16, 2007
- Organization subpart
- Yes
- Parent organization
- CONTACT LENS CLINIC OF SC PA
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Vince Miles
- Title
- Office Manager
- Phone
- (803) 741-2010
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Optometrist | 152W00000X | Primary |
Addresses
Primary practice location
620 Gervais St
Suite B
Columbia, SC 29201-3048
Mailing address
620 Gervais St
Suite B
Columbia, SC 29201-3048
Phone (803) 779-1001
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| DA9953 | Medicaid | SC |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in SC
Enrollment records 1
Other NPIs on the same Medicare enrollment 2
NPIs listed together on one Medicare enrollment, typically parts of the same organization.
National Provider Directory
National Provider Directory- Part of
- Contact Lens Clinic of SC
Practitioners & affiliated clinicians
Practitioners 3
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Optometrist
- Columbia, SC
- NPI 1881669802
-
- Optometrist
- Irmo, SC
- NPI 1316927221
-
- Optometrist
- Detroit, MI
- NPI 1841545381
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1179273600000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1351814400000",
"number": "1043427776",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "620 GERVAIS ST",
"address_2": "SUITE B",
"city": "COLUMBIA",
"state": "SC",
"postal_code": "292013048",
"telephone_number": "803-779-1001",
"fax_number": "803-779-1089"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "620 GERVAIS ST",
"address_2": "SUITE B",
"city": "COLUMBIA",
"state": "SC",
"postal_code": "292013048",
"telephone_number": "803-779-1001",
"fax_number": "803-779-1089"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "DRS EYECARE, INC.",
"organizational_subpart": "YES",
"parent_organization_legal_business_name": "CONTACT LENS CLINIC OF SC PA",
"enumeration_date": "2007-05-16",
"last_updated": "2012-11-02",
"status": "A",
"authorized_official_last_name": "MILES",
"authorized_official_first_name": "VINCE",
"authorized_official_title_or_position": "OFFICE MANAGER",
"authorized_official_telephone_number": "803-741-2010"
},
"taxonomies": [
{
"code": "152W00000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Optometrist",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "DA9953",
"state": "SC"
}
],
"endpoints": [],
"other_names": []
}Other providers in Columbia, SC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 2, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.