Charlestoneye Pa

LBN: Charlestoneye Pa
Charlestoneye Pa is an health care organization with primary practice located at 3531 Mary Ader Ave Suite B, Charleston SC 29414-5896. The organization recently has only one registered license in Eye and Vision Services Providers / Optometrist, which is considered as the primary health care specialty. Charlestoneye Pa can be contacted via phone (843) 577-2047, or through Smith, Patrick W via phone (843) 577-2047.

Contact Information

Primary practice address
3531 Mary Ader Ave Suite B Charleston SC 29414-5896
Fax: (843) 577-0640
Website:
Authorized official contact:
Name: Smith, Patrick W Doctor of Optometry (OD)

Health care specialties

SpecialtyCodeLicense #State
Eye and Vision Services Providers / Optometrist 152W00000X 1029 South Carolina

Profile Details

NPI number 1255533709
LBN Legal business name Charlestoneye Pa
DBA Doing business as
Authorized official Smith, Patrick W Doctor of Optometry (OD)
Entity Organization
Organization subpart 1 No
Enumeration date Jun 5th, 2007
Last updated Aug 22nd, 2020 - about 4 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 1255533709 NPPES
South Carolina MEDICAID D10290

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