Healthcare Provider Details

I. General information

NPI: 1760312870
Provider Name (Legal Business Name): HELEN SIMS
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 05/20/2026
Last Update Date: 05/20/2026
Certification Date: 05/20/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2401 AUGUSTA RD
WEST COLUMBIA SC
29169-4543
US

IV. Provider business mailing address

2401 AUGUSTA RD
WEST COLUMBIA SC
29169-4543
US

V. Phone/Fax

Practice location:
  • Phone: 803-796-8902
  • Fax: 803-796-2966
Mailing address:
  • Phone: 803-796-8902
  • Fax: 803-796-2966

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code156FX1800X
TaxonomyOptician
License Number1660
License Number StateSC

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: