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Organization

MIDLANDS VISION ASSOCIATES, PC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
DR. MOHAMED SHABIR BHARADIA O.D. (PRESIDENT)
(803) 750-4949
Entity
Organization

Contact information

Practice address
1326 BUSH RIVER RD, AT WALMART VISION CENTER, COLUMBIA, SC 29210-6804
(803) 750-4949
(803) 750-7172
Mailing address
P.O. BOX 21203, COLUMBIA, SC 29221-1203
(803) 750-4949
(803) 750-7172

Taxonomy

Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
1047
SC

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
D10478
SC
05
DA9825
SC
Enumeration date
06/25/2007
Last updated
04/25/2008
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