Organization
CAROLINA CATARACT CLINIC
Active
Other names
Advantage Eye Care
Organization subpart
No
Provider details
NPI number
Authorized official
MR. DEAN ROBERT JACOBS MD (OWNER)
(803) 788-2276
Entity
Organization
Contact information
Practice address
115 ATRIUM WAY, SUITE 120, COLUMBIA, SC 29223
(803) 788-2276
(803) 788-1022
Mailing address
PO BOX 23098, COLUMBIA, SC 29224-3098
(803) 788-2276
(803) 788-1022
Taxonomy
Speciality
Code
Description
License number
State
207W00000X
Ophthalmology Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
125705
—
SC
05
—
GP0041
—
SC
Enumeration date
11/17/2005
Last updated
01/03/2022
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