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
Phone: (843) 821-9300
Fax: (843) 821-9300
Website:
Health care specialties
| Specialty | Code | License # | 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 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1417987512 | NPPES |
| South Carolina | Other | 410023170 | RAILROAD MEDICARE |
| South Carolina | MEDICAID | D09729 | RAILROAD MEDICARE |
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