NPIMap

Organization Active NPI

East Coast Optometric, Inc.

Doing business as (DBA) H Rubin Vision Center

  • Optometrist
  • Columbia, SC
National Provider Identifier
1891874061
Registry record updated Nov 12, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
1123 Issued in SC
Legal business name
EAST COAST OPTOMETRIC, INC.
Doing business as
(DBA) H Rubin Vision Center
Practice address
4699 Forest Drive Suite C
H. Rubin Vision Center
Columbia, SC 29206
Phone
(803) 787-3080
Fax
(803) 738-0700
NPI assigned
Nov 6, 2006
Last updated
Nov 12, 2010By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 12, 2010

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

Authorized official

Name
Kenneth M Webber
Title
Coo
Phone
(803) 788-8204

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
OptometristGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 152W00000X 1123 SC Primary
OptometristGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 152W00000X

Addresses

Primary practice location

4699 Forest Drive Suite C
H. Rubin Vision Center
Columbia, SC 29206

Mailing address

7539 Garners Ferry Rd.
East Coast Optometric, Inc.
Columbia, SC 29209
Phone (803) 779-9313

Other identifiers 1

IdentifierTypeStateIssuer
DA9957MedicaidSC

Other names 1

  • (DBA) H Rubin Vision Center Doing business as

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1162771200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1289520000000",
    "number": "1891874061",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7539 GARNERS FERRY RD.",
            "address_2": "EAST COAST OPTOMETRIC, INC.",
            "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": "4699 FOREST DRIVE SUITE C",
            "address_2": "H. RUBIN VISION CENTER",
            "city": "COLUMBIA",
            "state": "SC",
            "postal_code": "29206",
            "telephone_number": "803-787-3080",
            "fax_number": "803-738-0700"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "EAST COAST OPTOMETRIC, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-11-06",
        "last_updated": "2010-11-12",
        "status": "A",
        "authorized_official_last_name": "WEBBER",
        "authorized_official_first_name": "KENNETH",
        "authorized_official_middle_name": "M",
        "authorized_official_title_or_position": "COO",
        "authorized_official_telephone_number": "803-788-8204"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Optometrist",
            "state": "SC",
            "license": "1123",
            "primary": true
        },
        {
            "code": "152W00000X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Optometrist",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "DA9957",
            "state": "SC"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "(DBA) 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 Nov 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.