Palmetto Optometry Associates, PA

Primary specialty

OptometristTaxonomy code 152W00000X

License

1333 Issued in SC

Legal business name

PALMETTO OPTOMETRY ASSOCIATES, PA

Practice address

470 Town Center PL Ste 5
Village at Sand Hill
Columbia, SC 29229-7957

Phone

(803) 865-1211

NPI assigned

Jan 23, 2007

Organization subpart

No

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

Authorized official

Name

Dr. Christian Keen Benner, OD

Title

Owner

Phone

(803) 865-1211

Specialties & licenses 1

Addresses

Other identifiers 1

Locations

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

{
    "created_epoch": "1169510400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1312761600000",
    "number": "1891849006",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "470 TOWN CENTER PL STE 5",
            "address_2": "VILLAGE AT SAND HILL",
            "city": "COLUMBIA",
            "state": "SC",
            "postal_code": "292297957",
            "telephone_number": "803-865-1211"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "470 TOWN CENTER PL STE 5",
            "address_2": "VILLAGE AT SAND HILL",
            "city": "COLUMBIA",
            "state": "SC",
            "postal_code": "292297957",
            "telephone_number": "803-865-1211"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PALMETTO OPTOMETRY ASSOCIATES, PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-01-23",
        "last_updated": "2011-08-08",
        "status": "A",
        "authorized_official_last_name": "BENNER",
        "authorized_official_first_name": "CHRISTIAN",
        "authorized_official_middle_name": "KEEN",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "803-865-1211",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "OD"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Optometrist",
            "state": "SC",
            "license": "1333",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE",
            "identifier": "8425",
            "state": "SC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

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• Palmetto OB/GYN Associates
• Palmetto Orthopaedic Clinic, PA
• Palmetto Oxygen LLC
• Palmetto Pain Management LLC
• Palmetto Pain Management, LLC
• Palmetto Ped Gastro and Nut

• 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 Aug 8, 2011; 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.