Paul W Derrick, Od Pa

LBN: Paul W Derrick, Od Pa
Paul W Derrick, Od Pa is an health care organization with primary practice located at 8096 Rivers Ave Ste A , North Charleston SC 29406-9243. The organization recently has only one registered license in Eye and Vision Services Providers / Optometrist, which is considered as the primary health care specialty. Paul W Derrick, Od Pa can be contacted via phone (843) 818-2020, or through Derrick, Paul W via phone (843) 818-2020.

Contact Information

Primary practice address
8096 Rivers Ave Ste A North Charleston SC 29406-9243
Phone: (843) 818-2020
Fax: (843) 818-2379
Website:
Map and Directions
Authorized official contact:
Name: Derrick, Paul W Doctor of Optometry (OD)
Phone: (843) 818-2020

Health care specialties

SpecialtyCodeLicense #State
Eye and Vision Services Providers / Optometrist 152W00000X 496 South Carolina

Profile Details

NPI number 1447693551
LBN Legal business name Paul W Derrick, Od Pa
DBA Doing business as
Authorized official Derrick, Paul W Doctor of Optometry (OD)
Entity Organization
Organization subpart 1 No
Enumeration date Apr 9th, 2013
Last updated Apr 9th, 2013 - about 11 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 1447693551 NPPES
South Carolina MEDICAID D04966

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