DR. MOHAMED SHABIR BHARADIA OD NPI 1003870890

Optometrist in Columbia, SC

About MOHAMED BHARADIA

Mohamed Bharadia is a provider in Columbia, SC with more than 29 years of experience. The NPI number assigned to this provider is 1003870890. The practitioner's primary taxonomy code is Optometrist (152W00000X). The provider is registered as an individual and their NPI record was last updated 10 years ago. Mohamed Bharadia is registered with Medicare and accepts claims assignment.

NPI1003870890 Additional informationCallout TooltipNational Provider Indentifier (NPI)
The 10-position all-numeric identification number assigned by the NPPES to uniquely identify a health care provider.
Provider NameDR. MOHAMED SHABIR BHARADIA OD
Provider Location Address1326 BUSH RIVER RD AT WALMART VISION CENTER COLUMBIA, SC 29210 Additional informationCallout TooltipProvider location address
The location address of the provider being identified. For providers with more than one physical location, this is the primary location. This address cannot include a Post Office box.
Provider Mailing AddressPO BOX 21203 COLUMBIA, SC 29221 Additional informationCallout TooltipProvider mailing address
The mailing address of the provider being identified. This address may contain the same information as the provider location address.
GenderMale
NPI Entity TypeIndividual Additional informationCallout TooltipEntity type code
The code describing the type of health care provider that is being assigned an NPI.
Codes are:
1 = (Person): individual human being who furnishes health care;
2 = (Non-person): entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO).
Medical School NameINDIANA UNIVERSITY - SCHOOL OF OPTOMETRY
Graduation Year1989
Is Sole Proprietor?No
Is Organization Subpart?N/A Additional informationCallout TooltipWhat is a subpart?
Subparts are the components and separate physical locations of organization health care providers. Examples include:
Hospital components include outpatient departments, surgical centers, psychiatric units, and laboratories. These components are often separately licensed or certified by States and may exist at physical locations other than that of the hospital of which they are a component.
Enumeration Date04-17-2006 Additional informationCallout TooltipProvider enumeration date
The date the provider was assigned a unique identifier (assigned an NPI)
Last Update Date04-25-2008 Additional informationCallout TooltipLast update date
The date that a record was last updated or changed.

Business Address

DR. MOHAMED SHABIR BHARADIA OD
1326 BUSH RIVER RD
AT WALMART VISION CENTER
COLUMBIA, SC
ZIP 29210
Phone: (803) 750-4949
Fax: (803) 750-7172
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Mailing Address

DR. MOHAMED SHABIR BHARADIA OD
PO BOX 21203
COLUMBIA, SC
ZIP 29221
Phone: (803) 750-4949
Fax: (803) 750-7172

Primary Taxonomy

Taxonomy Code152W00000X Additional informationCallout TooltipPrimary Taxonomy Code
The primary taxonomy code defines the provider type, classification, and specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.
ClassificationOptometrist
TypeEye and Vision Services Providers
License No.1047
License StateSC
Taxonomy DescriptionDoctors of optometry (ODs) are the primary health care professionals for the eye. Optometrists examine, diagnose, treat, and manage diseases, injuries, and disorders of the visual system, the eye, and associated structures as well as identify related systemic conditions affecting the eye. An optometrist has completed pre-professional undergraduate education in a college or university and four years of professional education at a college of optometry, leading to the doctor of optometry (O.D.) degree. Some optometrists complete an optional residency in a specific area of practice. Optometrists are eye health care professionals state-licensed to diagnose and treat diseases and disorders of the eye and visual system.

Additional Identifiers


Additional identifier(s) currently or formerly used as an identifier for the provider. The codes may include UPIN, NSC, OSCAR, DEA, Medicaid State or PIN identification numbers.

Identifier Type / Code Identifier State
D10478MEDICAID (05)SC
U290110281MEDICARE PIN (08)SC
U29011MEDICARE UPIN (02)SC

Map Location


DR. MOHAMED SHABIR BHARADIA OD address is 1326 BUSH RIVER RD AT WALMART VISION CENTER COLUMBIA, SC 29210

Other Providers at the same location


The following 8 providers are registered at the same or nearby location.

NPI Name / Type Taxonomy Address
1003235136MRS. JANNA HOLLIS PHARMD
Individual
Pharmacist1326 BUSH RIVER RD
COLUMBIA, SC 29210
(803) 750-3284
1003291410 TAMARA HOCKING
Individual
Pharmacist1326 BUSH RIVER RD
COLUMBIA, SC 29210
(803) 750-3284
1396962395WAL-MART STORES EAST LP
Organization
Pharmacy (Community/Retail Pharmacy)1326 BUSH RIVER RD
COLUMBIA, SC 29210
(803) 750-3284
1417317280FOCUS EYE CARE CENTER, PC
Organization
Optometrist1326 BUSH RIVER RD
COLUMBIA, SC 29210
(803) 602-5110
1487064820 ROBYN BROWN
Individual
Pharmacist1326 BUSH RIVER RD
COLUMBIA, SC 29210
(803) 750-3284
1619173804MIDLANDS VISION ASSOCIATES, PC
Organization
Optometrist1326 BUSH RIVER RD AT WALMART VISION CENTER
COLUMBIA, SC 29210
(803) 750-4949
1619329232DR. RICHARD WEST JACOCKS PHARMD
Individual
Pharmacist1326 BUSH RIVER RD
COLUMBIA, SC 29210
(803) 750-3284
1770920548IN FOCUS EYE CARE INC.
Organization
Optometrist1326 BUSH RIVER RD
COLUMBIA, SC 29210
(803) 790-1849