NPIMap

Organization Active NPI

East Coast Optometric, Inc

Doing business as H. Rubin Vision Center

  • Optometrist
  • Columbia, SC
National Provider Identifier
1790862597
Registry record updated Oct 12, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
1028 Issued in SC
Legal business name
EAST COAST OPTOMETRIC, INC
Doing business as
H. Rubin Vision Center
Practice address
901 Bush River Rd
Columbia, SC 29210
Phone
(803) 798-2290
Fax
(803) 731-5778
NPI assigned
Nov 1, 2006
Last updated
Oct 12, 2010By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 12, 2010

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

Authorized official

Name
Mrs. Tonya R Nance
Title
Third Party Administrator
Phone
(803) 779-9313

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X 1028 SC Primary

Addresses

Primary practice location

901 Bush River Rd
Columbia, SC 29210

Mailing address

7539 Garners Ferry Rd
Columbia, SC 29209
Phone (803) 779-9313

Other identifiers 1

IdentifierTypeStateIssuer
DA9957MedicaidSC

Other names 1

  • H. Rubin Vision Center Doing business as

National Provider Directory

National Provider Directory

Locations

1501 Morninghill Dr
Columbia, SC 29210
Phone (803) 783-8800

Practitioners & affiliated clinicians

Practitioners 10

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.

NPI Registry JSON

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

{
    "created_epoch": "1162339200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1286841600000",
    "number": "1790862597",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7539 GARNERS FERRY RD",
            "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": "901 BUSH RIVER RD",
            "city": "COLUMBIA",
            "state": "SC",
            "postal_code": "29210",
            "telephone_number": "803-798-2290",
            "fax_number": "803-731-5778"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "EAST COAST OPTOMETRIC, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-11-01",
        "last_updated": "2010-10-12",
        "status": "A",
        "authorized_official_last_name": "NANCE",
        "authorized_official_first_name": "TONYA",
        "authorized_official_middle_name": "R",
        "authorized_official_title_or_position": "THIRD PARTY ADMINISTRATOR",
        "authorized_official_telephone_number": "803-779-9313",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "SC",
            "license": "1028",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "DA9957",
            "state": "SC"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "H. Rubin Vision Center",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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 Oct 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.