Kd Optical

LBN: Kd Optical
Kd Optical is an health care organization with primary practice located at 447 Railroad Ave , Ridgeville SC 29472. The organization recently has 2 registered licenses in different health care specialties including Eye and Vision Services Providers / Optometrist, Eye and Vision Services Providers / Optician. Eye and Vision Services Providers / Optician is the primary health care specialty. Kd Optical can be contacted via phone (843) 821-9150, or through Moore, Kimberly D via phone (843) 821-9150.

Contact Information

Primary practice address
447 Railroad Ave Ridgeville SC 29472
Phone: (843) 821-9150
Fax:
Website:
Map and Directions
Authorized official contact:
Name: Moore, Kimberly D LICENSED OPTICIAN
Phone: (843) 821-9150

Health care specialties

SpecialtyCodeLicense #State
Eye and Vision Services Providers / Optometrist 152W00000X 1718
Eye and Vision Services Providers / Optician 156FX1800X 717

Profile Details

NPI number 1548510464
LBN Legal business name Kd Optical
DBA Doing business as
Authorized official Moore, Kimberly D LICENSED OPTICIAN
Entity Organization
Organization subpart 1 No
Enumeration date Sep 18th, 2012
Last updated Sep 19th, 2012 - about 12 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 1548510464 NPPES
South Carolina MEDICAID DV7172

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