Eyes Over Carolina Pc
LBN: Eyes Over Carolina Pc
Eyes Over Carolina Pc is an health care organization with primary practice located at 1150 S 4Th St , Hartsville SC 29550-0705. The organization recently has 3 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 / Optometrist is the primary health care specialty.
Eyes Over Carolina Pc can be contacted via phone (843) 857-1999, or through Mitchell, Edwin Kyle via phone (336) 707-6542.
Contact Information
Primary practice address
1150 S 4Th St
Hartsville SC 29550-0705
Phone: (843) 857-1999
Fax: (803) 227-8996
Website:
Authorized official contact:
Name: Mitchell, Edwin Kyle Doctor of Optometry (OD)
Phone: (336) 707-6542
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Eye and Vision Services Providers / Optometrist | 152W00000X | 1696 | South Carolina |
| Eye and Vision Services Providers / Corneal and Contact Management | 152WC0802X | 1696 | South Carolina |
| Eye and Vision Services Providers / Pediatrics | 152WP0200X | 1696 | South Carolina |
Profile Details
| NPI number | 1861803520 |
|---|---|
| LBN Legal business name | Eyes Over Carolina Pc |
| DBA Doing business as | |
| Authorized official | Mitchell, Edwin Kyle Doctor of Optometry (OD) |
| Entity | Organization |
| Organization subpart 1 | No |
| Enumeration date | May 15th, 2014 |
| Last updated | Sep 11th, 2015 - about 9 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1861803520 | NPPES |
| South Carolina | MEDICAID | DA9570 | |
| South Carolina | MEDICAID | DA9574 |
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