Organization Active NPI

Folline Opticians Inc

  • Optometrist
  • Camden, SC
National Provider Identifier
1366487787
Registry record updated Mar 3, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
Legal business name
FOLLINE OPTICIANS INC
Practice address
1670 Springdale Drive
Springdale Shopping Center Unit 6
Camden, SC 29020
Phone
(803) 432-2573
Fax
(803) 432-4618
NPI assigned
Jun 19, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 3, 2008

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

Authorized official

Name
Ms. Emily Folline Mikell
Title
Its Vice President
Phone
(803) 799-8168

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
OptometristGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 152W00000X Primary
OpticianGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 156FX1800X

Addresses

Primary practice location

1670 Springdale Drive
Springdale Shopping Center Unit 6
Camden, SC 29020

Mailing address

PO Box 5721
Columbia, SC 29250
Phone (803) 799-8168

Other identifiers 1

IdentifierTypeStateIssuer
DA9867MedicaidSC

Other names 1

  • Folline Vision Center 5 Doing business as

National Provider Directory

National Provider Directory
Tax ID family
Folline Opticians Inc3 organizations share this tax ID, including this one

Other organizations with this tax ID 2

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

Locations

1670 Springdale Dr
Ste 6
Camden, SC 29020
Phone (803) 432-2573

1671 Springdale Dr
Camden, SC 29020
Phone (803) 432-2573

1670 Springdale Dr
Camden, SC 29020

Practitioners & affiliated clinicians

Practitioners 3

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1150675200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1204502400000",
    "number": "1366487787",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 5721",
            "city": "COLUMBIA",
            "state": "SC",
            "postal_code": "29250",
            "telephone_number": "803-799-8168",
            "fax_number": "803-799-0854"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1670 SPRINGDALE DRIVE",
            "address_2": "SPRINGDALE SHOPPING CENTER UNIT 6",
            "city": "CAMDEN",
            "state": "SC",
            "postal_code": "29020",
            "telephone_number": "803-432-2573",
            "fax_number": "803-432-4618"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FOLLINE OPTICIANS INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-06-19",
        "last_updated": "2008-03-03",
        "status": "A",
        "authorized_official_last_name": "MIKELL",
        "authorized_official_first_name": "EMILY",
        "authorized_official_middle_name": "FOLLINE",
        "authorized_official_title_or_position": "ITS VICE PRESIDENT",
        "authorized_official_telephone_number": "803-799-8168",
        "authorized_official_name_prefix": "Ms."
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Optometrist",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "156FX1800X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Technician/Technologist, Optician",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "DA9867",
            "state": "SC"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Folline Vision Center 5",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Camden, SC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 3, 2008; 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.