Carolina Family Eyecare

Primary specialty

OptometristTaxonomy code 152W00000X

License

1151 Issued in SC

Legal business name

CAROLINA FAMILY EYECARE

Practice address

122 Ben Casey Dr Ste 101
Fort Mill, SC 29708-6594

Phone

(803) 396-3937

Fax

(803) 396-3945

NPI assigned

Dec 7, 2007

Organization subpart

No

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

Authorized official

Name

Dr. Nikhil A BansalNPI 1396708475

Title

Owner/Doctor

Phone

(803) 396-3937

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in SC

Enrollment records 1

Locations

Practitioners 4

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Nikhil Bansal, O.D.

  • Optometrist
  • Fort Mill, SC
  • NPI 1396708475
  Medicare reassignment Care Compare group NPD Authorized official
• Hannah Berkley Cornelia, OD

  • Optometrist
  • North Charleston, SC
  • NPI 1699335182
  Medicare reassignment Care Compare group NPD
• Taylor Coryn Eldred, OD

  • Optometrist
  • Fort Mill, SC
  • NPI 1871271023
  Medicare reassignment Care Compare group NPD
• Alan Martin Jones, OD

  • Optometrist
  • Indian Land, SC
  • NPI 1659591626
  Medicare reassignment NPD

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

{
    "created_epoch": "1196985600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1618358400000",
    "number": "1821271305",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "122 BEN CASEY DR STE 101",
            "city": "FORT MILL",
            "state": "SC",
            "postal_code": "297086594",
            "telephone_number": "803-396-3937",
            "fax_number": "803-396-3945"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "122 BEN CASEY DR STE 101",
            "city": "FORT MILL",
            "state": "SC",
            "postal_code": "297086594",
            "telephone_number": "803-396-3937",
            "fax_number": "803-396-3945"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CAROLINA FAMILY EYECARE",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-12-07",
        "last_updated": "2021-04-14",
        "certification_date": "2021-04-14",
        "status": "A",
        "authorized_official_last_name": "BANSAL",
        "authorized_official_first_name": "NIKHIL",
        "authorized_official_middle_name": "A",
        "authorized_official_title_or_position": "OWNER/DOCTOR",
        "authorized_official_telephone_number": "803-396-3937",
        "authorized_official_name_prefix": "Dr."
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Optometrist",
            "state": "SC",
            "license": "1151",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "D11510",
            "state": "SC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Krystal Kayla Carmichael, MD
• Carolina Community Counseling LLC
• Carolina Community Maternity Center
• Carolina Community Maternity Center
• Carolina Endocrinology & Diabetes, LLC
• Carolina Integrated Medicine LLC
• Carolina Interventional Pain Associates, P.a (Interventional Pain Partners)
• Carolina Interventional Pain Associates, PA (Pain Medicine Specialists of Fort Mill)
• Carolina Medical Partners PLLC
• Carolina Medical Spas PA (Purewellness Spas)

• Optometrist in Fort Mill, SC
• Providers in Fort Mill, 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 14, 2021; 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.