# UNIVERSITY SPECIALTY CLINICS - OPHTHALMOLOGY

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

## Provider details

- **NPI number:** 1275561771
- **Authorized official:** WILLIAM D ANDERSON MD (CHAIR)
- **Authorized official phone:** (803) 434-6836

## Contact information

- **Practice address:** 4 MEDICAL PARK RD, SUITE 100, COLUMBIA, SC 29203-6863
- **Practice address phone:** (803) 434-6836
- **Practice address fax:** (803) 434-1581
- **Mailing address:** 3555 HARDEN STREET EXT, 15 MEDICAL PARK, SUITE 300, COLUMBIA, SC 29203-6894
- **Mailing address phone:** (803) 545-5022
- **Mailing address fax:** (803) 256-0977

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207W00000X | Ophthalmology Physician | — | NULL | Yes |
| 207W00000X | Ophthalmology Physician | — | — | Yes |

## Other

- **Enumeration date:** 06/30/2006
- **Last updated:** 02/07/2014

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 05 | — | PC4090 | — | SC |
