Edewaard, Thomas C

Edewaard, Thomas C is an sole proprietor health care provider with primary practice located at 705 Old Trolley Rd Suite A, Summerville SC 29485-5212. He recently has 2 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 / Corneal and Contact Management is his primary health care specialty. Edewaard, Thomas C can be contacted via phone (843) 821-9300.

Contact Information

Primary practice address
705 Old Trolley Rd Suite A Summerville SC 29485-5212
Fax: (843) 821-9300
Website:

Health care specialties

SpecialtyCodeLicense #State
Eye and Vision Services Providers / Optometrist 152W00000X SC972 South Carolina
Eye and Vision Services Providers / Corneal and Contact Management 152WC0802X SC972 South Carolina

Profile Details

NPI number 1417987512
LBN Legal business name Edewaard, Thomas C
Credentials Doctor of Optometry (OD)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Jul 4th, 2006
Last updated Mar 25th, 2009 - about 15 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.

Request for update

Identifiers

StateTypeNumberIssuer
All States NPI 1417987512 NPPES
South Carolina Other 410023170 RAILROAD MEDICARE
South Carolina MEDICAID D09729 RAILROAD MEDICARE

Popular Providers