# COLUMBIA EYE CLINIC PA

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1164637534
- **Authorized official:** NANCY WILKES (PATIENT ACCOUNTS MANAGER)
- **Authorized official phone:** (803) 806-0075

## Contact information

- **Practice address:** 100 PALMETTO PARK BLVD, LEXINGTON, SC 29072
- **Practice address phone:** (803) 806-0075
- **Practice address fax:** (803) 356-0668
- **Mailing address:** 100 PALMETTO PARK BLVD, LEXINGTON, SC 29072-7855
- **Mailing address phone:** (803) 806-0075
- **Mailing address fax:** (803) 356-0668

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 332H00000X | Eyewear Supplier | — | NULL | Yes |

## Other

- **Enumeration date:** 05/11/2007
- **Last updated:** 09/11/2020