| Ms Brook A Vastis, OD | |
|
130 Forum Drive Suite 12, Columbia, SC 29229 | |
| (803) 788-8204 | |
| (803) 788-8206 |
| Full Name | Ms Brook A Vastis |
|---|---|
| Gender | Female |
| Speciality | Optometrist |
| Location | 130 Forum Drive Suite 12, Columbia, South Carolina |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1811074669 | NPI | - | NPPES |
| D14312 | Medicaid | SC |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 152W00000X | Optometrist | 1431 (South Carolina) | Primary |
| Provider Name | Optique |
|---|---|
| Provider Type | Part B Supplier - Clinic/group Practice |
| Provider Identifiers | NPI Number: 1891048872 PECOS PAC ID: 3072768183 Enrollment ID: O20130221000063 |
| Mailing Address | Practice Location Address |
|---|---|
| Ms Brook A Vastis, OD 31519 Winterplace Pkwy, Suite 2, Salisbury, MD 21804-1894 Ph: (410) 749-1545 | Ms Brook A Vastis, OD 130 Forum Drive Suite 12, Columbia, SC 29229 Ph: (803) 788-8204 |
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 |