ANDERSON OPHTHALMOLOGY PC – NPI #1245446392
Ophthalmology

An ophthalmologist has the knowledge and professional skills needed to provide comprehensive eye and vision care. Ophthalmologists are medically trained to diagnose, monitor and medically or surgically treat all ocular and visual disorders. This includes problems affecting the eye and its component structures, the eyelids, the orbit and the visual pathways. In so doing, an ophthalmologist prescribes vision services, including glasses and contact lenses.

ANDERSON OPHTHALMOLOGY PC is an ophthalmologist located in ANDERSON, SC. NPPES has assigned the NPI number 1245446392 to ANDERSON OPHTHALMOLOGY PC on May 15, 2007. It is a Type-2 NPI, indicating this NPI number is associated with an organization. The primary taxonomy selected by this provider is 207W00000X from the Health Care Provider Taxonomy code set, which is classified as Ophthalmology.

The NPI profile was last updated on Jan 23, 2025. Use the NPI data found here to bill health insurance companies, identify providers enrolled in Medicare and Medicaid services or other HIPAA compliant transactions. See the complete NPI profile for ANDERSON OPHTHALMOLOGY PC below.

NPI Profile for
ANDERSON OPHTHALMOLOGY PC

NPI Number
1245446392
Enumeration Date

(more than 19 years ago)
Entity Type
Type-2  Organization
Organization health care providers may have a single employee or thousands of employees. An example is an incorporated individual who is an organization's only employee.
Legal Name
ANDERSON OPHTHALMOLOGY PC
Primary location
1116 CORNELIA RD
ANDERSON, SC 29622
Phone: (864) 224-0028 Fax: (864) 225-5067
Mailing address
Same as primary location
Organization Subpart
No
Authorized Official
BORIS ILG
PRESIDENT
Phone: (864) 224-0028
Updated
Certification Date
Jan 23, 2025

Note: NPPES allows providers to attest to the accuracy of their NPI data. When a provider request any change to the NPI record, they will be able to attest to their changed NPI data, resulting in an updated certification date.

Identifiers

Identifiers for ANDERSON OPHTHALMOLOGY PC

Identifiers are used to associate other provider identifiers such as Medicaid or other insurers (ie:, Blue Cross, Blue Shield, Aetna, Kaiser-Permanente, etc.), with their NPI number. These identifiers can be used in matching an NPI number to an insurer's records. However, not all providers have such numbers and not all providers choose to include them in their NPI information.

DescriptionIssuerStateIdentifier
medicaidSC049557
Taxonomy Code(s)

A taxonomy code is a code that describes the health care service provider's type, classification, and the area of specialization. The primary specialty for this provider is indicated as (Primary) below.

Taxonomy Classification / Specialization State License
207W00000X
- Ophthalmology (Primary)

The taxonomy codes are selected by the provider at the time of NPI registration. Selection of a taxonomy code does not replace any credentialing or validation process that the provider requesting the code should complete.