| Dr Nikhil Bansal, OD | |
|
122 Ben Casey Dr Ste 101, Fort Mill, SC 29708-6594 | |
| (803) 396-3937 | |
| (803) 396-3945 |
| Full Name | Dr Nikhil Bansal |
|---|---|
| Gender | Male |
| Speciality | Optometry |
| Experience | 28 Years |
| Location | 122 Ben Casey Dr Ste 101, Fort Mill, 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 |
|---|---|---|---|
| 1396708475 | NPI | - | NPPES |
| D11510 | Medicaid | SC | |
| 1151 | Other | SC | LICENSE |
| 89063M9 | Medicaid | NC |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 152W00000X | Optometrist | 1151 (South Carolina) | Primary |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Carolina Family Eyecare Rock Hill Llc | 3779959937 | 2 |
| Carolina Family Eyecare | 4981664273 | 3 |
| Provider Name | Carolina Family Eyecare |
|---|---|
| Provider Type | Part B Supplier - Clinic/group Practice |
| Provider Identifiers | NPI Number: 1821271305 PECOS PAC ID: 4981664273 Enrollment ID: O20041012000627 |
| Provider Name | Carolina Family Eyecare Rock Hill Llc |
|---|---|
| Provider Type | Part B Supplier - Clinic/group Practice |
| Provider Identifiers | NPI Number: 1922736834 PECOS PAC ID: 3779959937 Enrollment ID: O20221013001765 |
| Mailing Address | Practice Location Address |
|---|---|
| Dr Nikhil Bansal, OD 122 Ben Casey Dr Ste 101, Fort Mill, SC 29708-6594 Ph: (803) 396-3937 | Dr Nikhil Bansal, OD 122 Ben Casey Dr Ste 101, Fort Mill, SC 29708-6594 Ph: (803) 396-3937 |
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