Poston, Jerd Watts

Poston, Jerd Watts is an individual health care provider with primary practice located at 1651 Glenns Bay Rd , Surfside Beach SC 29575-4836. He recently has only one registered license in Eye and Vision Services Providers / Optometrist, which is considered as his primary health care specialty. Poston, Jerd Watts can be contacted via phone (843) 650-2400.

Contact Information

Primary practice address
1651 Glenns Bay Rd Surfside Beach SC 29575-4836
Fax: (843) 650-2525
Website:

Health care specialties

SpecialtyCodeLicense #State
Eye and Vision Services Providers / Optometrist 152W00000X 694 South Carolina

Profile Details

NPI number 1720080971
LBN Legal business name Poston, Jerd Watts
Credentials Doctor of Optometry (OD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 1st, 2005
Last updated Jan 2nd, 2008 - about 18 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1720080971 NPPES
South Carolina MEDICAID DO6946

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