Provider Demographics
NPI:1316919665
Name:DRS EYE CARE, INC
Entity type:Organization
Organization Name:DRS EYE CARE, INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OFFICE MANAGER
Authorized Official - Prefix:
Authorized Official - First Name:VINCE
Authorized Official - Middle Name:
Authorized Official - Last Name:MILES
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:803-741-7010
Mailing Address - Street 1:7323 COLLEGE STREET
Mailing Address - Street 2:
Mailing Address - City:IRMO
Mailing Address - State:SC
Mailing Address - Zip Code:29063
Mailing Address - Country:US
Mailing Address - Phone:803-750-6600
Mailing Address - Fax:803-750-6601
Practice Address - Street 1:7323 COLLEGE STREET
Practice Address - Street 2:
Practice Address - City:IRMO
Practice Address - State:SC
Practice Address - Zip Code:29063
Practice Address - Country:US
Practice Address - Phone:803-750-6600
Practice Address - Fax:803-750-6601
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:CONTACT LENS CLINIC OF SC
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2006-02-02
Last Update Date:2015-10-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
SC982152W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes152W00000XEye and Vision Services ProvidersOptometristGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
SCDA9955Medicaid
SCDA9955Medicaid
SC0520230002Medicare NSC