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Organization Active NPI

Eye Associates of Cayce - West Columbia

Doing business as Eye Associates of Lexington

  • Optometrist
  • Cayce West Columbia, SC
National Provider Identifier
1952490237
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
SC490 Issued in SC
Legal business name
EYE ASSOCIATES OF CAYCE - WEST COLUMBIA
Doing business as
Eye Associates of Lexington
Practice address
600 Knox Abbott Dr
Cayce West Columbia, SC 29033
Phone
(803) 794-4444
NPI assigned
Oct 12, 2006
Last updated
Aug 22, 2020By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Dr. Jesse B Rivers, OD
Title
Dr Owner Partner
Phone
(803) 359-2294

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X SC490 SC Primary

Addresses

Primary practice location

600 Knox Abbott Dr
Cayce West Columbia, SC 29033

Mailing address

314 Columbia Ave
Lexington, SC 29072
Phone (803) 359-2294

Other identifiers 1

IdentifierTypeStateIssuer
DA9983MedicaidSC

Other names 1

  • Eye Associates of Lexington Doing business as

National Provider Directory

National Provider Directory

Locations

600 Knox Abbott Dr
West Columbia, SC 29033
Phone (803) 755-0213

Practitioners & affiliated clinicians

Practitioners 13

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.

View all 13

NPI Registry JSON

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

{
    "created_epoch": "1160611200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1952490237",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "314 COLUMBIA AVE",
            "city": "LEXINGTON",
            "state": "SC",
            "postal_code": "29072",
            "telephone_number": "803-359-2294",
            "fax_number": "803-359-1440"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "600 KNOX ABBOTT DR",
            "city": "CAYCE WEST COLUMBIA",
            "state": "SC",
            "postal_code": "29033",
            "telephone_number": "803-794-4444"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "EYE ASSOCIATES OF CAYCE - WEST COLUMBIA",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-10-12",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "RIVERS",
        "authorized_official_first_name": "JESSE",
        "authorized_official_middle_name": "B",
        "authorized_official_title_or_position": "DR  OWNER  PARTNER",
        "authorized_official_telephone_number": "803-359-2294",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "OD"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "SC",
            "license": "SC490",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "DA9983",
            "state": "SC"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Eye Associates of Lexington",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.