Organization Active NPI

Jaap Inc

  • Optometrist
  • Columbia, SC
National Provider Identifier
1528375771
Registry record updated Sep 16, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
795 Issued in SC
Legal business name
JAAP INC
Practice address
4110 Moseby St
Main Exchange PX
Columbia, SC 29207-6118
Phone
(803) 790-1849
Fax
(803) 790-1846
NPI assigned
Sep 9, 2010
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 16, 2010

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

Authorized official

Name
Dr. Peter V Candela, OD
Title
President
Phone
(808) 790-1849

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
OptometristGroup: 193400000X SINGLE SPECIALTY GROUP 152W00000X 795 SC Primary

Addresses

Primary practice location

4110 Moseby St
Main Exchange PX
Columbia, SC 29207-6118

Mailing address

4110 Moseby St
Main Exchange PX
Fort Jackson, SC 29207-0614
Phone (803) 790-1849

Other identifiers 1

IdentifierTypeStateIssuer
DO7957MedicaidSC

Other names 1

  • Candela Eye Care Doing business as

National Provider Directory

National Provider Directory

Locations

1518 Pickens St
Ste A
Columbia, SC 29201
Phone (803) 306-6121

Practitioners & affiliated clinicians

Practitioners 1

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": "1283990400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1284595200000",
    "number": "1528375771",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4110 MOSEBY ST",
            "address_2": "MAIN EXCHANGE PX",
            "city": "FORT JACKSON",
            "state": "SC",
            "postal_code": "292070614",
            "telephone_number": "803-790-1849",
            "fax_number": "803-790-1846"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4110 MOSEBY ST",
            "address_2": "MAIN EXCHANGE PX",
            "city": "COLUMBIA",
            "state": "SC",
            "postal_code": "292076118",
            "telephone_number": "803-790-1849",
            "fax_number": "803-790-1846"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JAAP INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-09-09",
        "last_updated": "2010-09-16",
        "status": "A",
        "authorized_official_last_name": "CANDELA",
        "authorized_official_first_name": "PETER",
        "authorized_official_middle_name": "V",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "808-790-1849",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "OD"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Optometrist",
            "state": "SC",
            "license": "795",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "DO7957",
            "state": "SC"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Candela Eye Care",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Columbia, SC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 16, 2010; 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.