Thomas, Shawn D
Thomas, Shawn D is an individual health care provider with primary practice located at 11947 Grandhaven Dr Ste M , Murrells Inlet SC 29576-7862. He recently has 2 registered licenses in different health care specialties including Eye and Vision Services Providers / Corneal and Contact Management, Eye and Vision Services Providers / Optometrist. Eye and Vision Services Providers / Optometrist is his primary health care specialty. Thomas, Shawn D can be contacted via phone (843) 299-2485.Contact Information
Primary practice address
11947 Grandhaven Dr Ste M
Murrells Inlet SC 29576-7862
Phone: (843) 299-2485
Fax: (843) 299-2486
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Eye and Vision Services Providers / Corneal and Contact Management | 152WC0802X | 1676 | South Carolina |
| Eye and Vision Services Providers / Optometrist | 152W00000X | 1676 | South Carolina |
Profile Details
| NPI number | 1295736445 |
|---|---|
| LBN Legal business name | Thomas, Shawn D |
| Credentials | Doctor of Optometry (OD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Aug 9th, 2005 |
| Last updated | Apr 5th, 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1295736445 | NPPES |
| Pennsylvania | MEDICAID | 100915892 |
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