Palmetto Retina Center Llc

LBN: Palmetto Retina Center Llc
Palmetto Retina Center Llc is an health care organization with primary practice located at 124 Sunset Court , West Columbia SC 29169. The organization recently has only one registered license in Allopathic & Osteopathic Physicians / Ophthalmology, which is considered as the primary health care specialty. Palmetto Retina Center Llc can be contacted via phone (803) 931-0077, or through Wells, John A via phone (803) 931-0077.

Contact Information

Primary practice address
124 Sunset Court West Columbia SC 29169
Phone: (803) 931-0077
Fax: (803) 931-0076
Website:
Map and Directions
Authorized official contact:
Name: Wells, John A Doctor of Medicine (MD)
Phone: (803) 931-0077

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Ophthalmology 207W00000X

Profile Details

NPI number 1255322806
LBN Legal business name Palmetto Retina Center Llc
DBA Doing business as
Authorized official Wells, John A Doctor of Medicine (MD)
Entity Organization
Organization subpart 1 No
Enumeration date Nov 2nd, 2005
Last updated Dec 9th, 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 1255322806 NPPES
South Carolina MEDICAID GP0623

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