Haviland, Thomas J
Haviland, Thomas J is an sole proprietor health care provider with primary practice located at 200 Peachwood Centre Dr , Spartanburg SC 29301-5348. He recently has only one registered license in Eye and Vision Services Providers / Optometrist, which is considered as his primary health care specialty. Haviland, Thomas J can be contacted via phone (864) 574-9661.Contact Information
Primary practice address
200 Peachwood Centre Dr
Spartanburg SC 29301-5348
Phone: (864) 574-9661
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Eye and Vision Services Providers / Optometrist | 152W00000X | SC775 | South Carolina |
Profile Details
| NPI number | 1982767281 |
|---|---|
| LBN Legal business name | Haviland, Thomas J |
| Credentials | OD PC |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Dec 18th, 2006 |
| Last updated | Jun 13th, 2011 - about 13 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 | 1982767281 | NPPES |
| South Carolina | MEDICAID | D07758 |
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