Organization
CAROLINA FAMILY EYECARE ROCK HILL LLC
Active
Other names
CAROLINA FAMILY EYECARE
Organization subpart
No
Provider details
NPI number
Authorized official
DR. NIKHIL A BANSAL OD (SINGLE MEMBER)
(704) 724-6057
Entity
Organization
Contact information
Practice address
1307 EBENEZER RD, ROCK HILL, SC 29732-2336
(803) 324-3979
(803) 324-3925
Mailing address
1307 EBENEZER RD, ROCK HILL, SC 29732-2336
(803) 324-3979
(803) 324-3925
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1396708475
INDIVIDUAL NPI
SC
Enumeration date
08/09/2022
Last updated
08/09/2022
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