Redeye, Vivien Leah

Redeye, Vivien Leah is an individual health care provider with primary practice located at 129 N Washington St , Sumter SC 29150-4949. She recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Family Medicine, Allopathic & Osteopathic Physicians / Hospitalist. Allopathic & Osteopathic Physicians / Hospitalist is her primary health care specialty. Redeye, Vivien Leah can be contacted via phone (803) 434-6771.

Contact Information

Primary practice address
129 N Washington St Sumter SC 29150-4949
Fax: (803) 434-3995
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X 60276182 New York
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X 88402 South Carolina
Allopathic & Osteopathic Physicians / Hospitalist 208M00000X 88402 South Carolina

Profile Details

NPI number 1275820441
LBN Legal business name Redeye, Vivien Leah
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 7th, 2011
Last updated Nov 2nd, 2022 - about 2 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 1275820441 NPPES
South Carolina MEDICAID 884029

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