Carolina Family Eyecare Rock Hill LLC

Primary specialty

OptometristTaxonomy code 152W00000X

Legal business name

CAROLINA FAMILY EYECARE ROCK HILL LLC

Doing business as

Carolina Family Eyecare

Practice address

1307 Ebenezer Rd
Rock Hill, SC 29732-2336

Phone

(803) 324-3979

Fax

(803) 324-3925

NPI assigned

Aug 9, 2022

Last updated

Aug 9, 2022By 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

Dr. Nikhil A Bansal, ODNPI 1396708475

Title

Single Member

Phone

(704) 724-6057

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• CAROLINA FAMILY EYECARE Doing business as

Electronic endpoints 1

Medicare fee-for-service enrollment

Enrolled in SC

Enrollment records 1

Practitioners 4

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.

• Nikhil Bansal, O.D.

  • Optometrist
  • Fort Mill, SC
  • NPI 1396708475
  Medicare reassignment Care Compare group NPD Authorized official
• Taylor Coryn Eldred, OD

  • Optometrist
  • Fort Mill, SC
  • NPI 1871271023
  Medicare reassignment Care Compare group NPD
• Alan Martin Jones, OD

  • Optometrist
  • Indian Land, SC
  • NPI 1659591626
  Medicare reassignment NPD
• Hannah Berkley Cornelia, OD

  • Optometrist
  • North Charleston, SC
  • NPI 1699335182
  Medicare reassignment

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

{
    "created_epoch": "1660003200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1660003200000",
    "number": "1922736834",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1307 EBENEZER RD",
            "city": "ROCK HILL",
            "state": "SC",
            "postal_code": "297322336",
            "telephone_number": "803-324-3979",
            "fax_number": "803-324-3925"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1307 EBENEZER RD",
            "city": "ROCK HILL",
            "state": "SC",
            "postal_code": "297322336",
            "telephone_number": "803-324-3979",
            "fax_number": "803-324-3925"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CAROLINA FAMILY EYECARE ROCK HILL LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-08-09",
        "last_updated": "2022-08-09",
        "certification_date": "2022-08-09",
        "status": "A",
        "authorized_official_last_name": "BANSAL",
        "authorized_official_first_name": "NIKHIL",
        "authorized_official_middle_name": "A",
        "authorized_official_title_or_position": "SINGLE MEMBER",
        "authorized_official_telephone_number": "704-724-6057",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "OD"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Optometrist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "INDIVIDUAL NPI",
            "identifier": "1396708475",
            "state": "SC"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "TEAM@EZPZEYECARE.COM",
            "affiliation": "N",
            "endpointDescription": "EMAIL",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "1307 Ebenezer Rd",
            "city": "Rock Hill",
            "state": "SC",
            "country_code": "US",
            "postal_code": "297322336",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": [
        {
            "organization_name": "CAROLINA FAMILY EYECARE",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Carolina Community Care, Inc. (Hospice & Community Care)
• Carolina Counseling Center
• Carolina Day Haven
• Carolina Emergency Dental LLC
• Carolina Eye Cataract & Laser, Inc
• Carolina Forensic Psychiatry LLC
• Carolina Hyperbaric and Consultation Services LLC
• Carolina Integrated Medical Solutions, LLC
• Carolina Lung Clinic, PA
• Carolina Medical Consultants PA

• Optometrist in Rock Hill, SC
• Providers in Rock Hill, 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 9, 2022; 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.