NPIMap

Organization Active NPI

Carolina Cataract Clinic

Doing business as Advantage Eye Care

  • Ophthalmology Physician
  • Sumter, SC
National Provider Identifier
1952598757
Registry record updated Feb 6, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Ophthalmology PhysicianTaxonomy code 207W00000X
License
12570 Issued in SC
Legal business name
CAROLINA CATARACT CLINIC
Doing business as
Advantage Eye Care
Practice address
214 Broad St
Sumter, SC 29150-4102
Phone
(803) 775-0203
Fax
(803) 788-1022
NPI assigned
Sep 26, 2007
Last updated
Feb 6, 2008By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 6, 2008

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

Authorized official

Name
Dean R Jacobs, MDNPI 1427034040
Title
Owner
Phone
(803) 788-2276

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Ophthalmology Physician 207W00000X 12570 SC Primary

Addresses

Primary practice location

214 Broad St
Sumter, SC 29150-4102

Mailing address

PO Box 23098
Columbia, SC 29224-3098
Phone (803) 775-0203

Other identifiers 1

IdentifierTypeStateIssuer
GP2754MedicaidSC

Other names 1

  • Advantage Eye Care Doing business as

National Provider Directory

National Provider Directory

Locations

214 Broad St
Sumter, SC 29150
Phone (803) 775-0203

Practitioners & affiliated clinicians

Practitioners 3

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.

NPI Registry JSON

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

{
    "created_epoch": "1190764800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1202256000000",
    "number": "1952598757",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 23098",
            "city": "COLUMBIA",
            "state": "SC",
            "postal_code": "292243098",
            "telephone_number": "803-775-0203",
            "fax_number": "803-788-1022"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "214 BROAD ST",
            "city": "SUMTER",
            "state": "SC",
            "postal_code": "291504102",
            "telephone_number": "803-775-0203",
            "fax_number": "803-788-1022"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CAROLINA CATARACT CLINIC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-09-26",
        "last_updated": "2008-02-06",
        "status": "A",
        "authorized_official_last_name": "JACOBS",
        "authorized_official_first_name": "DEAN",
        "authorized_official_middle_name": "R",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "803-788-2276",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207W00000X",
            "taxonomy_group": "",
            "desc": "Ophthalmology",
            "state": "SC",
            "license": "12570",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "GP2754",
            "state": "SC"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Advantage Eye Care",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Sumter, SC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 6, 2008; 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.