Eddis Ophthalmic Services, LLC

Primary specialty

OptometristTaxonomy code 152W00000X

License

1849 Issued in SC

Legal business name

EDDIS OPHTHALMIC SERVICES, LLC

Practice address

10136 Two Notch Rd
Suite 107D
Columbia, SC 29229-4389

Phone

(803) 760-7082

NPI assigned

Aug 21, 2015

Last updated

Aug 21, 2015By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Mrs. Elizabeth A Fite

Title

Office Manager

Phone

(803) 760-7082

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in SC

Enrollment records 1

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.

• James A Eddis III, OD

  • Optometrist
  • Camden, SC
  • NPI 1285717835
  Medicare reassignment NPD

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

{
    "created_epoch": "1440115200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1440115200000",
    "number": "1316314669",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10136 TWO NOTCH RD",
            "address_2": "SUITE 107D",
            "city": "COLUMBIA",
            "state": "SC",
            "postal_code": "292294389",
            "telephone_number": "803-760-7082"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10136 TWO NOTCH RD",
            "address_2": "SUITE 107D",
            "city": "COLUMBIA",
            "state": "SC",
            "postal_code": "292294389",
            "telephone_number": "803-760-7082"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "EDDIS OPHTHALMIC SERVICES, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-08-21",
        "last_updated": "2015-08-21",
        "status": "A",
        "authorized_official_last_name": "FITE",
        "authorized_official_first_name": "ELIZABETH",
        "authorized_official_middle_name": "A",
        "authorized_official_title_or_position": "OFFICE MANAGER",
        "authorized_official_telephone_number": "803-760-7082",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "SC",
            "license": "1849",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Joan Eccleston
• William Reed Echols, DO
• Matthew Rion Eckermann, DO
• Leah Suzanne Eckstrom, LPC/A
• Eddie M Williams III MD LLC
• Mary B Edelson, M.D.
• Richard Adam Edelson, MD
• Eden Health Solutions LLC
• Amanda Eden, FNP-C
• Margaret J. Edens, CRNA

• 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 Aug 21, 2015; 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.

Verify at the official NPI Registry.