Pee Dee Eye Associates Pa

LBN: Pee Dee Eye Associates Pa
Pee Dee Eye Associates Pa is an health care organization with primary practice located at 504 S 4Th St , Hartsville SC 29550-5720. The organization recently has only one registered license in Eye and Vision Services Providers / Optometrist, which is considered as the primary health care specialty. Pee Dee Eye Associates Pa can be contacted via phone (843) 332-7171, or through Newman, Theodore W via phone (843) 332-7171.

Contact Information

Primary practice address
504 S 4Th St Hartsville SC 29550-5720
Phone: (843) 332-7171
Fax: (843) 332-7802
Website:
Map and Directions
Authorized official contact:
Name: Newman, Theodore W Doctor of Optometry (OD)
Phone: (843) 332-7171

Health care specialties

SpecialtyCodeLicense #State
Eye and Vision Services Providers / Optometrist 152W00000X 1422 South Carolina

Profile Details

NPI number 1508973462
LBN Legal business name Pee Dee Eye Associates Pa
DBA Doing business as
Authorized official Newman, Theodore W Doctor of Optometry (OD)
Entity Organization
Organization subpart 1 No
Enumeration date Aug 24th, 2006
Last updated Aug 26th, 2014 - about 10 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 1508973462 NPPES
South Carolina MEDICAID DA9759
South Carolina MEDICAID D13340
South Carolina MEDICAID 459665
South Carolina MEDICAID D14223

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