Carolina Cataract Clinic
Organization Active NPI Ophthalmology Physician · Santee, SC
NPI 1407032295 · NPPES record last updated Jan 22, 2008
Key facts
- NPI
- 1407032295
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Ophthalmology Physician 207W00000X
- Legal business name
- CAROLINA CATARACT CLINIC
- Practice address
- 8799 Old Highway # 6
Santee, SC 29142 - Phone
- (803) 788-2276
- Fax
- (803) 788-1022
- NPI assigned
- Jan 11, 2008
- Organization subpart
- Yes
- Parent organization (as reported)
- CAROLINA CATARACT CLINIC
Authorized official
- Name
- Dean R Jacobs, M.D.
- Title
- Owner
- Phone
- (803) 788-2276
National Provider Directory
- Part of
- Carolina Cataract Clinic
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Ophthalmology Physician |
207W00000X | Yes |
Addresses
Primary practice location
8799 Old Highway # 6
Santee, SC 29142
Mailing address
PO Box 23098
Columbia, SC 29224-3098
Phone (803) 788-2276
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| GP2752 | Medicaid | SC |
Other providers in Santee, SC
- Alexis Branham
- Yvette Bull
- Mary Alison Burch
- Kaela-Marie May Camarena
- Sallie Thomas Cantley
- Center for the Carolinas
- Laura Clayton
- Harlie Anne Corcoran Eddins
- CVS Pharmacy
- Dva Healthcare Renal Care Inc
All providers in Santee, SC · Ophthalmology Physician in South Carolina
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jan 22, 2008. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.