Organization
CAROLINA EYE CATARACT & LASER, INC
Active
Other names
Eye Center of the Carolinas, LLC, Carolina Eyecare Center
Organization subpart
No
Provider details
NPI number
Authorized official
DR. DAVID BRIAN NELSON MD (PRESIDENT)
(803) 524-8953
Entity
Organization
Contact information
Practice address
410 S HERLONG AVE STE 103, ROCK HILL, SC 29732-8350
(803) 985-3937
(803) 985-3922
Mailing address
410 S HERLONG AVE STE 103, ROCK HILL, SC 29732-8350
(803) 985-3937
(803) 985-3922
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
—
—
207W00000X
Ophthalmology Physician
Primary
222281
SC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1710092309
NIMA MAZHARI, OD NPI #
—
01
—
1760441240
DAVID B NELSON NPI
—
01
—
1821218835
NPI DR BONITA MILES MACK
—
05
—
222814
—
SC
05
—
GP4138
—
SC
Enumeration date
05/02/2007
Last updated
05/15/2021
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