Branch & Stafford Optometric Associates, PA

Primary specialty

OptometristTaxonomy code 152W00000X

License

609,696,496,1336 Issued in SC

Legal business name

BRANCH & STAFFORD OPTOMETRIC ASSOCIATES, PA

Practice address

7455 Irmo Dr
Columbia, SC 29212-8636

Phone

(803) 781-2212

Fax

(803) 233-2883

NPI assigned

Nov 6, 2006

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Dr. Robert Branch, OD

Title

President

Phone

(803) 781-2212

Specialties & licenses 1

Addresses

Other identifiers 5

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Paul W Derrick, OD

  • Optometrist
  • Irmo, SC
  • NPI 1083674113
  NPD (past)

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1162771200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1523491200000",
    "number": "1235218496",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 227",
            "city": "IRMO",
            "state": "SC",
            "postal_code": "290630227",
            "telephone_number": "803-781-2212",
            "fax_number": "803-233-2883"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7455 IRMO DR",
            "city": "COLUMBIA",
            "state": "SC",
            "postal_code": "292128636",
            "telephone_number": "803-781-2212",
            "fax_number": "803-233-2883"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BRANCH & STAFFORD OPTOMETRIC ASSOCIATES, PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-11-06",
        "last_updated": "2018-04-12",
        "status": "A",
        "authorized_official_last_name": "BRANCH",
        "authorized_official_first_name": "ROBERT",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "803-781-2212",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "OD"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Optometrist",
            "state": "SC",
            "license": "609,696,496,1336",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "D06964",
            "state": "SC"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "PC2500",
            "state": "SC"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE RAILROAD",
            "identifier": "410031738",
            "state": "SC"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "D04966",
            "state": "SC"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "D06090",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Austin Bragdon, PA-C
• John Earl Bragg Jr., M.D.
• Latonya Brailsford, DNP, APRN,FNP-BC
• Braincare, LLC (Global Neuro-Diagnostics)
• Melissa Tournet Bramante, APRN, AGACNP-BC
• Gracin Elise Brand I
• Barbara Beck Brandenburg, DPT
• Jeffery Hall Brandenburg, MD
• Jessica Anne Brandes, PSY.D
• Margo Caldwell Brandon

• Optometrist in Columbia, SC
• Providers in Columbia, SC by specialty
• Optometrist in South Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 12, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.