| Edward Gustavo Mintz, MD | |
|
100 Palmetto Park Blvd, Lexington, SC 29072 | |
| (803) 806-0080 | |
| (803) 356-0668 |
| Full Name | Edward Gustavo Mintz |
|---|---|
| Gender | Male |
| Speciality | Ophthalmology |
| Experience | 36 Years |
| Location | 100 Palmetto Park Blvd, Lexington, South Carolina |
| Accepts Medicare Assignments | Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1629030283 | NPI | - | NPPES |
| 165706 | Medicaid | SC |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207W00000X | Ophthalmology | 16570 (South Carolina) | Primary |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Columbia Eye Clinic Pa | 8426069907 | 14 |
| Entity Name | Columbia Eye Clinic Pa |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1720044514 PECOS PAC ID: 8426069907 Enrollment ID: O20060515000010 |
| Mailing Address | Practice Location Address |
|---|---|
| Edward Gustavo Mintz, MD Po Box 60371, Charlotte, NC 28260-0371 Ph: (803) 806-0080 | Edward Gustavo Mintz, MD 100 Palmetto Park Blvd, Lexington, SC 29072 Ph: (803) 806-0080 |
Mark S. Keisler, M.D. Ophthalmology Medicare: Accepting Medicare Assignments Practice Location: 340 W Butler St, Lexington, SC 29072 Phone: 803-359-8777 Fax: 803-359-1513 | |
John R Walters, M.D. Ophthalmology Medicare: Medicare Enrolled Practice Location: 340 W Butler St, Lexington, SC 29072 Phone: 803-359-8777 Fax: 803-359-1513 | |
Dr. Gavin Wade Davis, M.D. Ophthalmology Medicare: Accepting Medicare Assignments Practice Location: 4723 Sunset Blvd Ste A, Lexington, SC 29072 Phone: 803-999-3937 | |
Kunal D Kanitkar, M.D. Ophthalmology Medicare: Accepting Medicare Assignments Practice Location: 340 W Butler St, Lexington, SC 29072 Phone: 803-359-8777 Fax: 803-359-1513 | |
Charles David Finley, MD Ophthalmology Medicare: Not Enrolled in Medicare Practice Location: 100 Palmetto Park Blvd, Lexington, SC 29072 Phone: 803-806-0080 Fax: 803-356-0668 | |
Garner Johnson Wild, MD Ophthalmology Medicare: Accepting Medicare Assignments Practice Location: 100 Palmetto Park Blvd, Lexington, SC 29072 Phone: 803-806-0080 Fax: 803-356-0668 |