| Ingram Comprehensive Eye Care Pa | |
|
4406a Forest Dr, Columbia, SC 29206-3129 | |
| (803) 782-7080 | |
| (803) 744-0964 |
| Full Name | Ingram Comprehensive Eye Care Pa |
|---|---|
| Type | Facility |
| Speciality | Optometrist |
| Location | 4406a Forest Dr, Columbia, South Carolina |
| Accepts Medicare Assignments | Medicare enrolled and accepts medicare insurance. Providers at this facility may prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1396942876 | NPI | - | NPPES |
| D13206 | Medicaid | SC |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 152W00000X | Optometrist | 1320 (South Carolina) | Primary |
| Provider Name | Benjamin Derrick Ingram |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1356301485 PECOS PAC ID: 1254303423 Enrollment ID: I20040809000636 |
| Mailing Address | Practice Location Address |
|---|---|
| Ingram Comprehensive Eye Care Pa 4406a Forest Dr, Columbia, SC 29206-3129 Ph: (803) 782-7080 | Ingram Comprehensive Eye Care Pa 4406a Forest Dr, Columbia, SC 29206-3129 Ph: (803) 782-7080 |
Bettina L Gary, OD Optometrist Medicare: Medicare Enrolled Practice Location: 7539 Garners Ferry Rd, Columbia, SC 29209 Phone: 803-779-9313 Fax: 803-779-9551 | |
Insyte Llc Optometrist Medicare: Medicare Enrolled Practice Location: 1513 Gregg St, Columbia, SC 29201 Phone: 803-257-4951 | |
Look, Pc Optometrist Medicare: Not Enrolled in Medicare Practice Location: 332 Long Pointe Ln, Columbia, SC 29229 Phone: 803-419-8907 | |
Dr. Alexis Noelle Broussard, OD Optometrist Medicare: Not Enrolled in Medicare Practice Location: 280 Harbison Blvd Ste T, Columbia, SC 29212 Phone: 803-732-9200 | |
Dr. Mohamed Shabir Bharadia, OD Optometrist Medicare: Not Enrolled in Medicare Practice Location: 1326 Bush River Rd, At Walmart Vision Center, Columbia, SC 29210 Phone: 803-750-4949 Fax: 803-750-7172 | |
Dr. Krystal Leigh Berthelette, OD Optometrist Medicare: Not Enrolled in Medicare Practice Location: 5420 Forest Dr, Columbia, SC 29206 Phone: 803-790-4600 | |
Drs Eyecare, Inc. Optometrist Medicare: Not Enrolled in Medicare Practice Location: 620 Gervais St, Suite B, Columbia, SC 29201 Phone: 803-779-1001 Fax: 803-779-1089 |