Organization
UNIVERSITY SPECIALTY CLINICS - OPHTHALMOLOGY
Active
Organization subpart
No
Provider details
NPI number
Authorized official
WILLIAM D ANDERSON M.D. (CHEIF MEDICAL OFFICER)
(803) 434-6836
Entity
Organization
Contact information
Practice address
100 PALMETTO HEALTH PKWY, SUITE 350, COLUMBIA, SC 29212-1753
(803) 545-5500
(803) 545-5513
Mailing address
3555 HARDEN STREET EXT, 15 MEDICAL PARK, SUITE 300, COLUMBIA, SC 29203-6894
(803) 545-5022
(803) 256-0977
Taxonomy
Speciality
Code
Description
License number
State
332H00000X
Eyewear Supplier
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0368630004
MEDICARE DME
SC
Enumeration date
06/22/2007
Last updated
02/07/2014
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