Basic Information
| Provider Information | |||||||||
| NPI: | 1063862829 | ||||||||
| EntityType: | 1 | ||||||||
| ReplacementNPI: | |||||||||
| OrganizationName: | |||||||||
| LastName: | BRINKLEY | ||||||||
| FirstName: | ERIC | ||||||||
| MiddleName: | R | ||||||||
| NamePrefix: | DR. | ||||||||
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| Credential: | OD | ||||||||
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| Mailing Information | |||||||||
| Address1: | 1620 BROWNING RD | ||||||||
| Address2: | |||||||||
| City: | COLUMBIA | ||||||||
| State: | SC | ||||||||
| PostalCode: | 292106924 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 8037988642 | ||||||||
| FaxNumber: | 8037980422 | ||||||||
| Practice Location | |||||||||
| Address1: | 10060 TWO NOTCH RD | ||||||||
| Address2: | |||||||||
| City: | COLUMBIA | ||||||||
| State: | SC | ||||||||
| PostalCode: | 292234396 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 8037881597 | ||||||||
| FaxNumber: | 8037980422 | ||||||||
| Other Information | |||||||||
| ProviderEnumerationDate: | 06/13/2016 | ||||||||
| LastUpdateDate: | 06/13/2016 | ||||||||
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| ProviderGenderCode: | M | ||||||||
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| IsSoleProprietor: | N | ||||||||
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Taxonomy Information
| Taxonomy | License | State | Switch | TaxonomyGroup | TaxonomyType | TaxonomyClass | SubSpecialty | 152W00000X | 1947 | SC | Y | Eye and Vision Services Providers | Optometrist |
No ID Information.