# CAROLINA CATARACT CLINIC

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- **Entity:** Organization
- **Status:** Active
- **Parent organization:** CAROLINA CATARACT CLINIC
- **Organization subpart:** Yes

## Provider details

- **NPI number:** 1407032295
- **Legal business name:** CAROLINA CATARACT CLINIC
- **Authorized official:** DEAN R JACOBS M.D. (OWNER)
- **Authorized official phone:** (803) 788-2276

## Contact information

- **Practice address:** 8799 OLD HIGHWAY \# 6, SANTEE, SC 29142
- **Practice address phone:** (803) 788-2276
- **Practice address fax:** (803) 788-1022
- **Mailing address:** PO BOX 23098, COLUMBIA, SC 29224-3098
- **Mailing address phone:** (803) 788-2276
- **Mailing address fax:** (803) 788-1022

## Taxonomy

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

## Other

- **Enumeration date:** 01/11/2008
- **Last updated:** 01/22/2008

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 05 | — | GP2752 | — | SC |