MEDICARE: DR. VYTAUTAS A PAKALNIS M.D.

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	207W00000X	Ophthalmology Physician	13234	SC

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1114981776
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. VYTAUTAS A PAKALNIS M.D.

Provider Business Mailing Address
First Line	:	4 MEDICAL PARK RD
Second Line	:	SUITE 100
City	:	COLUMBIA
State	:	SC
Zip	:	29203-6807
Country	:	US
Telephone Number	:	803-434-7699
Fax Number	:	803-434-2387

Provider Business Practice Location Address
First Line	:	4 MEDICAL PARK RD
Second Line	:	SUITE 100
City	:	COLUMBIA
State	:	SC
Zip	:	29203-6807
Country	:	US
Telephone Number	:	803-434-1560
Fax Number	:	803-434-2387

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	04/12/2006
Last Update Date	:	06/03/2010

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