Avondale Eye Care

LBN: Avondale Eye Care
Avondale Eye Care is an health care organization with primary practice located at 1251 Savannah Hwy , Charleston SC 29407-7826. The organization recently has only one registered license in Eye and Vision Services Providers / Optometrist, which is considered as the primary health care specialty. Avondale Eye Care can be contacted via phone (843) 870-4073, or through Pitcavage, Joseph M via phone (843) 870-4073.

Contact Information

Primary practice address
1251 Savannah Hwy Charleston SC 29407-7826
Phone: (843) 870-4073
Fax:
Website:
Map and Directions
Authorized official contact:
Name: Pitcavage, Joseph M Doctor of Optometry (OD)
Phone: (843) 870-4073

Health care specialties

SpecialtyCodeLicense #State
Eye and Vision Services Providers / Optometrist 152W00000X SC 1374 South Carolina

Profile Details

NPI number 1285807131
LBN Legal business name Avondale Eye Care
DBA Doing business as
Authorized official Pitcavage, Joseph M Doctor of Optometry (OD)
Entity Organization
Organization subpart 1 No
Enumeration date Apr 10th, 2008
Last updated Jun 2nd, 2015 - about 10 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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Identifiers

StateTypeNumberIssuer
All States NPI 1285807131 NPPES
South Carolina MEDICAID DA9650

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