Eyecare Specialties Of Charleston

LBN: Village Optical Llc
Eyecare Specialties Of Charleston is an health care organization with primary practice located at 634 Freshfields Drive , Johns Island SC 29455. The organization recently has only one registered license in Eye and Vision Services Providers / Optometrist, which is considered as the primary health care specialty. Village Optical Llc can be contacted via phone (843) 768-0565, or through Elliott, James D via phone (843) 577-2047.

Contact Information

Primary practice address
634 Freshfields Drive Johns Island SC 29455
Phone: (843) 768-0565
Fax: (843) 768-0566
Website:
Map and Directions
Authorized official contact:
Name: Elliott, James D Doctor of Optometry (OD)
Phone: (843) 577-2047

Health care specialties

SpecialtyCodeLicense #State
Eye and Vision Services Providers / Optometrist 152W00000X SC1029 South Carolina

Profile Details

NPI number 1972701803
LBN Legal business name Village Optical Llc
DBA Doing business as Eyecare Specialties Of Charleston
Authorized official Elliott, James D Doctor of Optometry (OD)
Entity Organization
Organization subpart 1 No
Enumeration date Jul 3rd, 2007
Last updated Apr 28th, 2009 - about 15 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 1972701803 NPPES
South Carolina MEDICAID DA9655

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