Palmetto Ophthalmology Associates, P.A.
LBN: Palmetto Ophthalmology Associates, P.A.
Palmetto Ophthalmology Associates, P.A. is an health care organization with primary practice located at 340 W Butler St , Lexington SC 29072-2606. The organization recently has only one registered license in Allopathic & Osteopathic Physicians / Ophthalmology, which is considered as the primary health care specialty.
Palmetto Ophthalmology Associates, P.A. can be contacted via phone (803) 359-8777, or through Keisler, Mark Sanford via phone (803) 359-8777.
Contact Information
Primary practice address
340 W Butler St
Lexington SC 29072-2606
Phone: (803) 359-8777
Fax: (803) 359-1513
Website:
Authorized official contact:
Name: Keisler, Mark Sanford Doctor of Medicine (MD)
Phone: (803) 359-8777
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Ophthalmology | 207W00000X |
Profile Details
| NPI number | 1275580805 |
|---|---|
| LBN Legal business name | Palmetto Ophthalmology Associates, P.A. |
| DBA Doing business as | |
| Authorized official | Keisler, Mark Sanford Doctor of Medicine (MD) |
| Entity | Organization |
| Organization subpart 1 | No |
| Enumeration date | May 28th, 2006 |
| Last updated | Oct 11th, 2007 - about 18 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 | 1275580805 | NPPES |
| South Carolina | MEDICAID | GP2314 | |
| South Carolina | MEDICAID | 113326 | |
| South Carolina | MEDICAID | PC3867 | |
| South Carolina | MEDICAID | Q91004 | |
| South Carolina | MEDICAID | 138381 |
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