Park & Phillips Eye Care PA

Primary specialty

OptometristTaxonomy code 152W00000X

License

SC858 Issued in SC

Legal business name

PARK & PHILLIPS EYE CARE PA

Doing business as

Dr Dorothy Park & Associates

Practice address

1818 Hampton St
Columbia, SC 29201-3534

Phone

(803) 254-6306

Fax

(803) 771-6745

NPI assigned

Jul 24, 2006

Organization subpart

No

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

Authorized official

Name

Mrs. Mary M Salley

Title

Office Manager

Phone

(803) 254-6306

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• Dr Dorothy Park & Associates Doing business as

Medicare fee-for-service enrollment

Enrolled in SC

Enrollment records 1

Locations

Practitioners 7

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.

• Dorothy J Park, OD

  • Optometrist
  • Columbia, SC
  • NPI 1932183852
  Medicare reassignment NPD
• Philip L Bertucci, MD

  • Ophthalmology Physician
  • Gulfport, MS
  • NPI 1194793299
  NPD (past)
• James E Harris, OD

  • Optometrist
  • Concord, NC
  • NPI 1548281306
  NPD (past)
• Andrea L Lusk, M.D.

  • Ophthalmology Physician
  • Port Richey, FL
  • NPI 1538179270
  NPD (past)
• Evan Alan Phillips, O.D.

  • Optometrist
  • Leawood, KS
  • NPI 1164506465
  NPD (past)
• Stacy D. Phillips, O.D.

  • Optometrist
  • Leawood, KS
  • NPI 1760566061
  NPD (past)
• August Michael Wallace, O.D.

  • Optometrist
  • Longview, TX
  • NPI 1477750081
  NPD (past)

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

{
    "created_epoch": "1153699200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1202774400000",
    "number": "1902828585",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1818 HAMPTON ST",
            "city": "COLUMBIA",
            "state": "SC",
            "postal_code": "292013534",
            "telephone_number": "803-254-6306",
            "fax_number": "803-771-6745"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1818 HAMPTON ST",
            "city": "COLUMBIA",
            "state": "SC",
            "postal_code": "292013534",
            "telephone_number": "803-254-6306",
            "fax_number": "803-771-6745"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PARK & PHILLIPS EYE CARE PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-07-24",
        "last_updated": "2008-02-12",
        "status": "A",
        "authorized_official_last_name": "SALLEY",
        "authorized_official_first_name": "MARY",
        "authorized_official_middle_name": "M",
        "authorized_official_title_or_position": "OFFICE MANAGER",
        "authorized_official_telephone_number": "803-254-6306",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Optometrist",
            "state": "SC",
            "license": "SC858",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "DO8588",
            "state": "SC"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Dr Dorothy Park & Associates",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Paragon Wellness
• Leonard T Pardue, RT(R) (MR)
• Courtney Parigi Parent, CRNA
• Parentingpartners
• Pooja Parikh, DO
• Dorothy J Park, OD
• Hanjin Park Park
• Joseph Won-Joon Park, D.M.D
• Sohee Kim Park, DMD, MHS
• Karen Carole Parker Williams, PT

• 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 Feb 12, 2008; 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.