Eye Care Services Inc

Primary specialty

OptometristTaxonomy code 152W00000X

License

720 Issued in SC

Legal business name

EYE CARE SERVICES INC

Practice address

136 Church Street
Chester, SC 29706

Phone

(803) 581-7400

Fax

(803) 581-0124

NPI assigned

Aug 5, 2007

Last updated

Oct 23, 2007By 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

Kim L Jernigan

Title

Office Manager

Phone

(803) 581-7400

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in SC

Enrollment records 1

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

Locations

Practitioners 1

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.

• Phillip Brian Jacobs, OD

  • Optometrist
  • Chester, SC
  • NPI 1710942784
  Medicare reassignment NPD

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

{
    "created_epoch": "1186272000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1193097600000",
    "number": "1881885036",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 791",
            "address_2": "136 CHURCH STREET",
            "city": "CHESTER",
            "state": "SC",
            "postal_code": "29706",
            "telephone_number": "803-581-7400",
            "fax_number": "803-581-0124"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "136 CHURCH STREET",
            "city": "CHESTER",
            "state": "SC",
            "postal_code": "29706",
            "telephone_number": "803-581-7400",
            "fax_number": "803-581-0124"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "EYE CARE SERVICES INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-08-05",
        "last_updated": "2007-10-23",
        "status": "A",
        "authorized_official_last_name": "JERNIGAN",
        "authorized_official_first_name": "KIM",
        "authorized_official_middle_name": "L",
        "authorized_official_title_or_position": "OFFICE MANAGER",
        "authorized_official_telephone_number": "803-581-7400"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "SC",
            "license": "720",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "DD0720",
            "state": "SC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Terry L. Dodge, M.D.
• Dr. Raut and Associates, P.a.
• Rembert A Ellisor Jr., RPH
• Nenita Espinosa, DPT
• Eye Associates of Chester PA
• Families in Transition LLC
• Sandy Renae Farrow, PHARMD
• First Choice Medical, Inc
• First Fruit Residential Group Home III, LLC
• Kaitlin Ford

• Optometrist in Chester, SC
• Providers in Chester, SC by specialty
• Optometrist in South Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 23, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.