Organization
INGRAM COMPREHENSIVE EYE CARE PA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. BENJAMIN D INGRAM OD (OWNER AND CEO)
(803) 782-7080
Entity
Organization
Contact information
Practice address
4406A FOREST DR, COLUMBIA, SC 29206-3129
(803) 782-7080
(803) 744-0964
Mailing address
4406A FOREST DR, COLUMBIA, SC 29206-3129
(803) 782-7080
(803) 744-0964
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
1320
SC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
D13206
—
SC
Enumeration date
06/28/2007
Last updated
08/22/2020
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