Organization Active NPI

Eye Physicians and Surgeons of Columbia

  • Ophthalmology Physician
  • Columbia, SC
National Provider Identifier
1689722555
Registry record updated Mar 14, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Ophthalmology PhysicianTaxonomy code 207W00000X
Legal business name
EYE PHYSICIANS AND SURGEONS OF COLUMBIA
Practice address
601 Taylor St Ste a
Columbia, SC 29201-2740
Phone
(803) 256-7494
Fax
(803) 799-0746
NPI assigned
Jan 8, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 14, 2024

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

Authorized official

Name
Stacy Joanne Story, MDNPI 1447512876
Title
Ophthalmologist
Phone
(803) 256-7494

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Ophthalmology PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 207W00000X Primary

Addresses

Primary practice location

601 Taylor St Ste a
Columbia, SC 29201-2740

Mailing address

601 Taylor St Ste a
Columbia, SC 29201-2740
Phone (803) 256-7494

Other identifiers 1

IdentifierTypeStateIssuer
148099MedicaidSC

Other names 1

  • Eye Physicians and Surgeons of Columbia PA Other name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in SC

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20100112000177 SC Part B Supplier - Clinic/Group Practice 7719028885 Receives reassigned benefits from 3 practitioners
Practice locations: Columbia, SC

National Provider Directory

National Provider Directory

Locations

2601 Laurel St
Ste 110
Columbia, SC 29204
Phone (803) 256-7494

601 Taylor St
Ste A
Columbia, SC 29201
Phone (803) 256-7494

109 Blarney Dr
Columbia, SC 29223
Phone (803) 865-8200

Interoperability endpoints

  • Direct secure messaging: cstory@epsc.intellechartdirect.net
  • Direct secure messaging: cvolpe@epsc.intellechartdirect.net
  • Direct secure messaging: sstory@epsc.intellechartdirect.net

Practitioners & affiliated clinicians

Practitioners 4

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": "1168214400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1710374400000",
    "number": "1689722555",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "601 TAYLOR ST STE A",
            "city": "COLUMBIA",
            "state": "SC",
            "postal_code": "292012740",
            "telephone_number": "803-256-7494",
            "fax_number": "803-799-0746"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "601 TAYLOR ST STE A",
            "city": "COLUMBIA",
            "state": "SC",
            "postal_code": "292012740",
            "telephone_number": "803-256-7494",
            "fax_number": "803-799-0746"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "EYE PHYSICIANS AND SURGEONS OF COLUMBIA",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-01-08",
        "last_updated": "2024-03-14",
        "certification_date": "2024-03-14",
        "status": "A",
        "authorized_official_last_name": "STORY",
        "authorized_official_first_name": "STACY",
        "authorized_official_middle_name": "JOANNE",
        "authorized_official_title_or_position": "OPHTHALMOLOGIST",
        "authorized_official_telephone_number": "803-256-7494",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207W00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Ophthalmology",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "148099",
            "state": "SC"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Eye Physicians and Surgeons of Columbia PA",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

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 Mar 14, 2024; 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.

Verify at the official NPI Registry.