Carolina Glaucoma and Vision Center

Primary specialty

Ophthalmology PhysicianTaxonomy code 207W00000X

License

17330 Issued in SC

Legal business name

CAROLINA GLAUCOMA AND VISION CENTER

Practice address

1 Richland Medical Park Dr
Suite 210
Columbia, SC 29203-6834

Phone

(803) 789-4144

Fax

(803) 779-4146

NPI assigned

Jan 25, 2007

Last updated

Sep 9, 2009By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Dr. Alric Christopher Blake, M.D.

Title

Owner

Phone

(803) 779-4144

Specialties & licenses 1

Addresses

Other identifiers 2

Locations

Practitioners 3

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.

• Gary A Kocher, M.D.

  • Specialist
  • Columbia, SC
  • NPI 1326028846
  NPD (past)
• Jennifer B Lemmon, OD

  • Optometrist
  • York, SC
  • NPI 1700987286

  Multi-Specialty

  NPD (past)
• Andrew H Woldorf, MD

  • Ophthalmology Physician
  • Columbia, SC
  • NPI 1376508176
  NPD (past)

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

{
    "created_epoch": "1169683200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1252454400000",
    "number": "1700931979",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1 RICHLAND MEDICAL PARK DR",
            "address_2": "SUITE 210",
            "city": "COLUMBIA",
            "state": "SC",
            "postal_code": "292036834",
            "telephone_number": "803-789-4144",
            "fax_number": "803-779-4146"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1 RICHLAND MEDICAL PARK DR",
            "address_2": "SUITE 210",
            "city": "COLUMBIA",
            "state": "SC",
            "postal_code": "292036834",
            "telephone_number": "803-789-4144",
            "fax_number": "803-779-4146"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CAROLINA GLAUCOMA AND VISION CENTER",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-01-25",
        "last_updated": "2009-09-09",
        "status": "A",
        "authorized_official_last_name": "BLAKE",
        "authorized_official_first_name": "ALRIC",
        "authorized_official_middle_name": "CHRISTOPHER",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "803-779-4144",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207W00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Ophthalmology",
            "state": "SC",
            "license": "17330",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD MEDICARE",
            "identifier": "180026568",
            "state": "SC"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "GP1498",
            "state": "SC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Carolina Family Podiatry,LLC
• Carolina Family Practice
• Carolina Family Wellness Clinic, LLC
• Carolina Family Wellness Collaborative
• Carolina Foot Clinic, P.C.
• Carolina Gold Construction, LLC
• Carolina Hair Rejuvenation Clinic LLC
• Carolina Healht & Wellness Center, LLC
• Carolina Health and Wellness
• Carolina Health Care, Inc.

• Ophthalmology Physician in Columbia, SC
• Providers in Columbia, SC by specialty
• Ophthalmology Physician in South Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 9, 2009; 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.