Farley, Keith G
Farley, Keith G is an individual health care provider with primary practice located at 855 Houston Northcutt Blvd Primary Care Optometry, Mt Pleasant SC 29464. He recently has only one registered license in Eye and Vision Services Providers / Optometrist, which is considered as his primary health care specialty. Farley, Keith G can be contacted via phone (843) 881-2525.Contact Information
Primary practice address
855 Houston Northcutt Blvd Primary Care Optometry
Mt Pleasant SC 29464
Phone: (843) 881-2525
Fax: (843) 881-2578
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Eye and Vision Services Providers / Optometrist | 152W00000X | SC739 | South Carolina |
Profile Details
| NPI number | 1477616647 |
|---|---|
| LBN Legal business name | Farley, Keith G |
| Credentials | Doctor of Optometry (OD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Dec 19th, 2006 |
| Last updated | Jul 9th, 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1477616647 | NPPES |
| South Carolina | MEDICAID | D00739 | |
| South Carolina | MEDICAID | DA9736 |
Popular Providers
-
Clark, Tessa J
1101 Clarity Rd Ste 100 , Mt Pleasant SC 29464-3138 -
Schaefer, Kalyn Elizabeth
805 Long Point Rd , Mt Pleasant SC 29464-8374 -
Salvatore, Paul M
709 Long Point Rd Ste C , Mt Pleasant SC 29464-8287 -
Hood, Jeffrey
1101 Clarity Rd Suite 100, Mt Pleasant SC 29464-3138 -
Shinners, Frederick Adrian
1308 Theater Dr Mt, Pleasant Towne Centre, Mt Pleasant SC 29464-3398 -
Fraser, Elizabeth Wright
966 Houston Northcutt Blvd , Mt Pleasant SC 29464-3487 -
Sunkin, Gerald
1710 Shoremeade Rd Ste 420 , Mt Pleasant SC 29464-7316 -
Mirabile, Thomas Joseph
1031 Highway 41 Ste 400, Mt Pleasant SC 29466-9320