Eyecare Specialties Of Charleston

LBN: Eyecare Specialties Of Charleston
Eyecare Specialties Of Charleston is an health care organization with primary practice located at 3531 Mary Ader Ave Ste B , Charleston SC 29414-5896. The organization recently has 2 registered licenses in different health care specialties including Eye and Vision Services Providers / Optometrist, Suppliers / Durable Medical Equipment & Medical Supplies. Eye and Vision Services Providers / Optometrist is the primary health care specialty. Eyecare Specialties Of Charleston can be contacted via phone (843) 577-2047, or through Faulkner, Kim via phone (843) 577-2047.

Contact Information

Primary practice address
3531 Mary Ader Ave Ste B Charleston SC 29414-5896
Phone: (843) 577-2047
Fax:
Website:
Map and Directions
Authorized official contact:
Name: Faulkner, Kim
Phone: (843) 577-2047

Health care specialties

SpecialtyCodeLicense #State
Eye and Vision Services Providers / Optometrist 152W00000X
Suppliers / Durable Medical Equipment & Medical Supplies 332B00000X

Profile Details

NPI number 1487631867
LBN Legal business name Eyecare Specialties Of Charleston
DBA Doing business as
Authorized official Faulkner, Kim
Entity Organization
Organization subpart 1 No
Enumeration date Dec 28th, 2005
Last updated May 2nd, 2019 - about 5 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 1487631867 NPPES
South Carolina MEDICAID DA9789

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