Active NPI
DRS Eyecare, Inc.
- Optometrist
- Columbia, SC
National Provider Identifier
1538375266
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Optometrist
- Legal business name
- DRS EYECARE, INC.
- Practice address
- 8810A Farrow Rd
Columbia, SC 29203 - Phone
- (803) 741-2010
- Fax
- (803) 741-2011
- NPI assigned
- May 16, 2007
- Last updated
- Oct 29, 2015
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Vince Miles
- Title
- Office Manager
- Phone
- (803) 741-2010
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Optometrist | 152W00000X | NU | Primary |
Addresses
Primary practice location
8810A Farrow Rd
Columbia, SC 29203
Mailing address
8810A Farrow Rd
Columbia, SC 29203
Phone (803) 741-2010
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| DA9954 | Medicaid | SC |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in SC
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20100505000824 | SC | Part B Supplier - Clinic/Group Practice | 1456349448 |
Receives reassigned benefits from 4 practitioners 2 other NPIs on this enrollment This NPI is an additional NPI on the enrollment Practice locations: Irmo, SC |
Other NPIs on the same Medicare enrollment 2
NPIs listed together on one Medicare enrollment, typically parts of the same organization.
National Provider Directory
National Provider DirectoryPractitioners & affiliated clinicians
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.
-
- Optometrist
- Columbia, SC
- NPI 1801861836
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1179273600000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1446076800000",
"number": "1538375266",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "8810A FARROW RD",
"city": "COLUMBIA",
"state": "SC",
"postal_code": "29203",
"telephone_number": "803-741-2010",
"fax_number": "803-741-2011"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "8810A FARROW RD",
"city": "COLUMBIA",
"state": "SC",
"postal_code": "29203",
"telephone_number": "803-741-2010",
"fax_number": "803-741-2011"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "DRS EYECARE, INC.",
"organizational_subpart": "NO",
"enumeration_date": "2007-05-16",
"last_updated": "2015-10-29",
"status": "A",
"authorized_official_last_name": "MILES",
"authorized_official_first_name": "VINCE",
"authorized_official_title_or_position": "OFFICE MANAGER",
"authorized_official_telephone_number": "803-741-2010"
},
"taxonomies": [
{
"code": "152W00000X",
"taxonomy_group": "",
"desc": "Optometrist",
"state": "NU",
"license": null,
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "DA9954",
"state": "SC"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Columbia, SC
- Ember Storm Drivdahl, DDS
- Devon Elizabeth Driver, FNP-BC
- Morgan Nicole Driver
- Kylie Drouin, PSYD
- DRS Eyecare, Inc.
- DRS Holt & Duensing Dental Center PA
- DRS Hutchinson & Hanna P a
- DRS Roncaglione and Reimels Columbia LLC
- DRS. Gioche and White III, LLC (Dental Care of Rosewood)
- Aaron Drumgoole, PHARMD
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 29, 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.