Organization Active NPI

John Hindersman

  • Specialist
  • Columbia, SC
National Provider Identifier
1821294992
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
SpecialistTaxonomy code 174400000X
License
007387 Issued in SC
Legal business name
JOHN HINDERSMAN
Practice address
2750 Laurel St Ste 102
Columbia, SC 29204-2023
Phone
(803) 799-0585
NPI assigned
Jun 25, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Dr. John Hindersman, M.D.NPI 1285698746
Title
Doctor
Phone
(803) 799-0585

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
SpecialistGroup: 193400000X SINGLE SPECIALTY GROUP 174400000X 007387 SC Primary

Addresses

Primary practice location

2750 Laurel St Ste 102
Columbia, SC 29204-2023

Mailing address

2750 Laurel St Ste 102
Columbia, SC 29204-2023
Phone (803) 799-0585

Other identifiers 1

IdentifierTypeStateIssuer
073878MedicaidSC

Other names 1

  • Carolina Laser Vision Center Other name

National Provider Directory

National Provider Directory

Locations

2750 Laurel St
Ste 102
Columbia, SC 29204
Phone (803) 799-0585

Practitioners & affiliated clinicians

Practitioners 1

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": "1182729600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1821294992",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2750 LAUREL ST STE 102",
            "city": "COLUMBIA",
            "state": "SC",
            "postal_code": "292042023",
            "telephone_number": "803-799-0585"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2750 LAUREL ST STE 102",
            "city": "COLUMBIA",
            "state": "SC",
            "postal_code": "292042023",
            "telephone_number": "803-799-0585"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JOHN HINDERSMAN",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-06-25",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "HINDERSMAN",
        "authorized_official_first_name": "JOHN",
        "authorized_official_title_or_position": "DOCTOR",
        "authorized_official_telephone_number": "803-799-0585",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Specialist",
            "state": "SC",
            "license": "007387",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "073878",
            "state": "SC"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Carolina Laser Vision Center",
            "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 Aug 22, 2020; 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.