Loftis & Associates, PA

Primary specialty

OptometristTaxonomy code 152W00000X

License

636 Issued in SC

Legal business name

LOFTIS & ASSOCIATES, PA

Doing business as

Eye on Gervais

Practice address

1219 Lincoln St
Columbia, SC 29201-3135

Phone

(803) 799-2020

Fax

(803) 799-2025

NPI assigned

Jul 8, 2006

Last updated

Jun 25, 2008By 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

Amy L Brinkley

Title

Billing Specialist

Phone

(803) 798-8642

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• Eye on Gervais Doing business as

Medicare fee-for-service enrollment

Enrolled in SC

Enrollment records 1

Other NPIs on the same Medicare enrollment 1

NPIs listed together on one Medicare enrollment, typically parts of the same organization.

• Loftis and Associates P.a

  • Optometrist
  • Leesville, SC
  • NPI 1952739468

  O20040409000285

  Same enrollment

Tax ID family

Eye on Gervais2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

• Loftis & Associates, PA

  dba Eye on the Dream

  • Optometrist
  • Columbia, SC
  • NPI 1790719391
  NPD tax ID

Practitioners 2

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
• Clarence Earl Loftis Jr., O.D.

  • Optometrist
  • Columbia, SC
  • NPI 1518925791
  Medicare reassignment NPD

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

{
    "created_epoch": "1152316800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1214352000000",
    "number": "1326071135",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1219 LINCOLN ST",
            "city": "COLUMBIA",
            "state": "SC",
            "postal_code": "292013135",
            "telephone_number": "803-799-2020",
            "fax_number": "803-799-2025"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1219 LINCOLN ST",
            "city": "COLUMBIA",
            "state": "SC",
            "postal_code": "292013135",
            "telephone_number": "803-799-2020",
            "fax_number": "803-799-2025"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LOFTIS & ASSOCIATES, PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-07-08",
        "last_updated": "2008-06-25",
        "status": "A",
        "authorized_official_last_name": "BRINKLEY",
        "authorized_official_first_name": "AMY",
        "authorized_official_middle_name": "L",
        "authorized_official_title_or_position": "BILLING SPECIALIST",
        "authorized_official_telephone_number": "803-798-8642"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Optometrist",
            "state": "SC",
            "license": "636",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "DA9876",
            "state": "SC"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Eye on Gervais",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Alison W. Lockhart, DMD
• Natalie Locklear
• Jordan Lockman
• Marjorie Loewer, PH.D.
• Mikael Hess Lofe
• Loftis & Associates, PA (Eye on the Dream)
• Clarence Earl Loftis Jr., O.D.
• Kiersten Leigh Lofton, M.D.
• Peggy Logan, M.ED
• Candace Logans

• 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 Jun 25, 2008; 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.