Midlands Vision Associates, PC

Primary specialty

OptometristTaxonomy code 152W00000X

License

1047 Issued in SC

Legal business name

MIDLANDS VISION ASSOCIATES, PC

Practice address

1326 Bush River Rd
At Walmart Vision Center
Columbia, SC 29210-6804

Phone

(803) 750-4949

Fax

(803) 750-7172

NPI assigned

Jun 25, 2007

Organization subpart

No

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

Authorized official

Name

Dr. Mohamed Shabir Bharadia, O.D.

Title

President

Phone

(803) 750-4949

Specialties & licenses 1

Addresses

Other identifiers 2

Locations

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

{
    "created_epoch": "1182729600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1209081600000",
    "number": "1619173804",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "P.O. BOX 21203",
            "city": "COLUMBIA",
            "state": "SC",
            "postal_code": "292211203",
            "telephone_number": "803-750-4949",
            "fax_number": "803-750-7172"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1326 BUSH RIVER RD",
            "address_2": "AT WALMART VISION CENTER",
            "city": "COLUMBIA",
            "state": "SC",
            "postal_code": "292106804",
            "telephone_number": "803-750-4949",
            "fax_number": "803-750-7172"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MIDLANDS VISION ASSOCIATES, PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-06-25",
        "last_updated": "2008-04-25",
        "status": "A",
        "authorized_official_last_name": "BHARADIA",
        "authorized_official_first_name": "MOHAMED",
        "authorized_official_middle_name": "SHABIR",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "803-750-4949",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "O.D."
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Optometrist",
            "state": "SC",
            "license": "1047",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "DA9825",
            "state": "SC"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "D10478",
            "state": "SC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Midlands Psychiatric Service, LLC
• Midlands Pulmonary and Critical Care Specialists, PC
• Midlands Senior Care
• Midlands Senior Care
• Midlands Surgical Associates
• Hannah L Midles, AU.D.
• Mighty Kidz Services LLC.
• Jennifer Mikell
• Julia K. Mikell, DDS
• Pushyami Mikkilineni, MD

• 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 Apr 25, 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.