Provider Demographics
NPI:1063862829
Name:BRINKLEY, ERIC R (OD)
Entity type:Individual
Prefix:DR
First Name:ERIC
Middle Name:R
Last Name:BRINKLEY
Suffix:
Gender:M
Credentials:OD
Other - Prefix:
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Mailing Address - Street 1:1620 BROWNING RD
Mailing Address - Street 2:
Mailing Address - City:COLUMBIA
Mailing Address - State:SC
Mailing Address - Zip Code:29210-6924
Mailing Address - Country:US
Mailing Address - Phone:803-798-8642
Mailing Address - Fax:803-798-0422
Practice Address - Street 1:10060 TWO NOTCH RD
Practice Address - Street 2:
Practice Address - City:COLUMBIA
Practice Address - State:SC
Practice Address - Zip Code:29223-4396
Practice Address - Country:US
Practice Address - Phone:803-788-1597
Practice Address - Fax:803-798-0422
Is Sole Proprietor?:No
Enumeration Date:2016-06-13
Last Update Date:2016-06-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
SC1947152W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes152W00000XEye and Vision Services ProvidersOptometrist