Florence Primary Eye Care, Pc

LBN: Florence Primary Eye Care, Pc
Florence Primary Eye Care, Pc is an health care organization with primary practice located at 2014 S Irby St , Florence SC 29505-3420. The organization recently has only one registered license in Eye and Vision Services Providers / Optometrist, which is considered as the primary health care specialty. Florence Primary Eye Care, Pc can be contacted via phone (843) 679-9005, or through Wallace, Robert Brian via phone (843) 679-9005.

Contact Information

Primary practice address
2014 S Irby St Florence SC 29505-3420
Phone: (843) 679-9005
Fax:
Website:
Map and Directions
Authorized official contact:
Name: Wallace, Robert Brian Doctor of Optometry (OD)
Phone: (843) 679-9005

Health care specialties

SpecialtyCodeLicense #State
Eye and Vision Services Providers / Optometrist 152W00000X SC1088 South Carolina

Profile Details

NPI number 1134169147
LBN Legal business name Florence Primary Eye Care, Pc
DBA Doing business as
Authorized official Wallace, Robert Brian Doctor of Optometry (OD)
Entity Organization
Organization subpart 1 No
Enumeration date Jun 7th, 2006
Last updated Aug 22nd, 2020 - 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 1134169147 NPPES
South Carolina MEDICAID DA9755

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