Anderson, Jeremy Patrick

Anderson, Jeremy Patrick is an individual health care provider with primary practice located at 227 E Blackstock Rd Suite 200, Spartanburg SC 29301-2632. He recently has only one registered license in Eye and Vision Services Providers / Optometrist, which is considered as his primary health care specialty. Anderson, Jeremy Patrick can be contacted via phone (864) 585-7807.

Contact Information

Primary practice address
227 E Blackstock Rd Suite 200 Spartanburg SC 29301-2632
Phone: (864) 585-7807
Fax: (864) 585-8272
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Eye and Vision Services Providers / Optometrist 152W00000X 1321 South Carolina

Profile Details

NPI number 1942262621
LBN Legal business name Anderson, Jeremy Patrick
Credentials Doctor of Optometry (OD)
Entity Individual
Sole proprietor 1 No
Enumeration date Apr 6th, 2006
Last updated May 19th, 2008 - about 16 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1942262621 NPPES
South Carolina Other AA05988525 PROVIDER ID NUMBER
South Carolina MEDICAID D13215 PROVIDER ID NUMBER

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