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CAROLINA RETINA CENTER P.A.
NPI 1205892783
Ophthalmology - Retina Specialist in Columbia, SC

Active since April 25, 2006CLIA 42D2022532 · Waiver
7620 TRENHOLM ROAD EXT, COLUMBIA, SC 29223(803) 736-7200(803) 736-2116 Get Directions Write a Review

NPPES record last updated: August 4, 2017. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Carolina Retina Center P.a. NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

CAROLINA RETINA CENTER P.A. (NPI 1205892783) is a healthcare organization registered as a retina specialist in Columbia, South Carolina and active in the NPI registry since April 2006. The organization holds a CLIA Waiver certificate valid through April 4, 2027 and lists Jeffrey Glenn Gross, President, as its authorized official.

NPPES Registry Identity

NPI1205892783
Entity TypeOrganization
Primary Taxonomy207WX0107X
Legal Business NameCAROLINA RETINA CENTER P.A.
Location Address7620 TRENHOLM ROAD EXTColumbia, SC 29223-1718
Mailing Address7620 Trenholm Road ExtColumbia, SC 29223-1718 · (803) 736-7200 · Fax (803) 736-2116
Phone(803) 736-7200
Fax(803) 736-2116
Organization SubpartNo
Authorized OfficialJeffrey Glenn GrossPresident · (803) 736-7200
Enumeration DateApril 25, 2006
Last NPPES UpdateAugust 4, 2017
✔ NPI 1205892783 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyOphthalmology · Retina SpecialistAllopathic & Osteopathic Physicians
Taxonomy Code207WX0107X
Definition
An ophthalmologist who specializes in the diagnosis and treatment of vitreoretinal diseases.
Also ListedOphthalmologyTaxonomy 207W00000X
7620 TRENHOLM ROAD EXT, Columbia, SC 29223
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Other Identifiers 2

Medicare ID-Type Unspecified5500SC
MedicaidGP1780SC

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

CLIA Laboratory Certificates CMS CLIA

Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.

Certificate of Waiver 42D2022532

Carolina Retina Center · Columbia, SC
Active · expires Apr 4, 2027
CLIA Number42D2022532
Laboratory TypePhysician Office
Certificate Effective DateApril 5, 2025
Certificate Expiration DateApril 4, 2027
Laboratory DirectorJeffrey G. Gross
Laboratory Phone(803) 736-7200
Laboratory LocationCarolina Retina Center7620 Trenholm Road Ext, Columbia, SC 29223
CLIA data matches this NPI record on: Address Name Phone
This certificate is issued to a laboratory to perform only waived tests.

Other Providers at the Same Location NPPES 2

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

BARRON CRAWFORD FISHBURNE M.D.
Ophthalmology (Retina Specialist)
7620 TRENHOLM ROAD EXT
COLUMBIA, SC 29223
Richland County (803) 736-7200
JEFFREY GLENN GROSS M.D.
Ophthalmology (Retina Specialist)
7620 TRENHOLM ROAD EXT
COLUMBIA, SC 29223
Richland County (803) 736-7200

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Carolina Retina Center P.A.'s NPI number?

The NPI number for Carolina Retina Center P.A. is 1205892783. It was assigned to this organization in the NPPES registry on April 25, 2006.

Where is Carolina Retina Center P.A. located?

Carolina Retina Center P.A. is located at 7620 Trenholm Road Ext, Columbia, SC 29223. The listed phone number is (803) 736-7200.

What is Carolina Retina Center P.A.'s specialty?

The primary specialty registered for this NPI is Ophthalmology, specializing in Retina Specialist, with taxonomy code 207WX0107X.

Does Carolina Retina Center P.A. hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 42D2022532) is associated with this NPI, valid through April 4, 2027. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

When was this NPI record last updated?

The NPPES record for Carolina Retina Center P.A. was last updated on August 4, 2017. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 9 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.