Pediatric Ophthalmology

LBN: Spartanburg Regional Med Ctr
Pediatric Ophthalmology is an health care organization with primary practice located at 101 E Wood St , Spartanburg SC 29303-3040. The organization recently has only one registered license in Allopathic & Osteopathic Physicians / Ophthalmology, which is considered as the primary health care specialty. Spartanburg Regional Med Ctr can be contacted via phone (864) 560-4304, or through Hillers, Gina Michelle via phone (864) 560-4057.

Contact Information

Primary practice address
101 E Wood St Spartanburg SC 29303-3040
Phone: (864) 560-4304
Fax: (864) 560-4413
Website:
Map and Directions
Authorized official contact:
Name: Hillers, Gina Michelle
Phone: (864) 560-4057

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Ophthalmology 207W00000X

Profile Details

NPI number 1972607059
LBN Legal business name Spartanburg Regional Med Ctr
DBA Doing business as Pediatric Ophthalmology
Authorized official Hillers, Gina Michelle
Entity Organization
Organization subpart 1 Yes
Enumeration date Sep 11th, 2006
Last updated Oct 25th, 2007 - about 18 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 1972607059 NPPES
South Carolina MEDICAID GP1118

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