Reynolds, William Roy

Reynolds, William Roy is an sole proprietor health care provider with primary practice located at 5166 Sunset Blvd Suite J, Lexington SC 29072-9258. He recently has only one registered license in Eye and Vision Services Providers / Optometrist, which is considered as his primary health care specialty. Reynolds, William Roy can be contacted via phone (803) 996-2020.

Contact Information

Primary practice address
5166 Sunset Blvd Suite J Lexington SC 29072-9258
Fax: (803) 808-2917
Website:

Health care specialties

SpecialtyCodeLicense #State
Eye and Vision Services Providers / Optometrist 152W00000X 1291 South Carolina

Profile Details

NPI number 1821187063
LBN Legal business name Reynolds, William Roy
Credentials Doctor of Optometry (OD)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Oct 12th, 2006
Last updated Oct 29th, 2009 - about 15 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 1821187063 NPPES
South Carolina MEDICAID D12918

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