Draisin, Neil William

Draisin, Neil William is an sole proprietor health care provider with primary practice located at 1470 Tobias Gadson Blvd Suite 115, Charleston SC 29407-4707. He recently has 5 registered licenses in different health care specialties including Eye and Vision Services Providers / Optometrist, Eye and Vision Services Providers / Corneal and Contact Management, Eye and Vision Services Providers / Pediatrics, Eye and Vision Services Providers / Sports Vision, Eye and Vision Services Providers / Vision Therapy. Eye and Vision Services Providers / Optometrist is his primary health care specialty. Draisin, Neil William can be contacted via phone (843) 556-2020.

Contact Information

Primary practice address
1470 Tobias Gadson Blvd Suite 115 Charleston SC 29407-4707
Fax: (843) 763-3937
Website:

Health care specialties

SpecialtyCodeLicense #State
Eye and Vision Services Providers / Optometrist 152W00000X 503 South Carolina
Eye and Vision Services Providers / Corneal and Contact Management 152WC0802X 503 South Carolina
Eye and Vision Services Providers / Pediatrics 152WP0200X 503 South Carolina
Eye and Vision Services Providers / Sports Vision 152WS0006X 503 South Carolina
Eye and Vision Services Providers / Vision Therapy 152WV0400X 503 South Carolina

Profile Details

NPI number 1548226822
LBN Legal business name Draisin, Neil William
Credentials O.D.,F.C.O.V.D.
Entity Individual
Sole proprietor 1 Yes
Enumeration date Apr 25th, 2006
Last updated Nov 15th, 2007 - about 17 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 1548226822 NPPES
South Carolina MEDICAID D05037

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