East Coast Optometric, Inc.

Primary specialty

OptometristTaxonomy code 152W00000X

License

513 Issued in SC

Legal business name

EAST COAST OPTOMETRIC, INC.

Practice address

7539 Garners Ferry Rd.
H. Rubin Vision Center
Columbia, SC 29209

Phone

(803) 776-5275

Fax

(803) 779-9551

NPI assigned

Nov 1, 2006

Organization subpart

No

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

Authorized official

Name

Kenneth M Webber

Title

Coo

Phone

(803) 788-8204

Specialties & licenses 2

Addresses

Other identifiers 1

Other names 1

• (DBA) H. Rubin Vision Center Doing business as

Locations

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

{
    "created_epoch": "1162339200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1289520000000",
    "number": "1770660482",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7539 GARNERS FERRY RD.",
            "address_2": "EAST COAST OPTOMETRIC, INC.",
            "city": "COLUMBIA",
            "state": "SC",
            "postal_code": "29209",
            "telephone_number": "803-779-9313",
            "fax_number": "803-779-9551"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7539 GARNERS FERRY RD.",
            "address_2": "H. RUBIN VISION CENTER",
            "city": "COLUMBIA",
            "state": "SC",
            "postal_code": "29209",
            "telephone_number": "803-776-5275",
            "fax_number": "803-779-9551"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "EAST COAST OPTOMETRIC, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-11-01",
        "last_updated": "2010-11-12",
        "status": "A",
        "authorized_official_last_name": "WEBBER",
        "authorized_official_first_name": "KENNETH",
        "authorized_official_middle_name": "M",
        "authorized_official_title_or_position": "COO",
        "authorized_official_telephone_number": "803-788-8204"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Optometrist",
            "state": "SC",
            "license": "513",
            "primary": true
        },
        {
            "code": "152W00000X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Optometrist",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "DA9957",
            "state": "SC"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "(DBA) H. Rubin Vision Center",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Earthly Beauty LLC
• Christina Lee Easler, LISW-CP
• Elizabeth Easler, RN
• East Coast Optometric, Inc
• East Coast Optometric, Inc.
• East Coast Optometric, Inc.
• East Coast Optometric, Inc.
• Jane East
• Bruce McDowell Easterling, M.D.
• Jason P Eastlack, 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 Nov 12, 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.