Williams, Robert Neal

Williams, Robert Neal is an individual health care provider with primary practice located at 4885 Socastee Blvd , Myrtle Beach SC 29588-7245. He recently has only one registered license in Eye and Vision Services Providers / Optometrist, which is considered as his primary health care specialty. Williams, Robert Neal can be contacted via phone (843) 293-8101.

Contact Information

Primary practice address
4885 Socastee Blvd Myrtle Beach SC 29588-7245
Phone: (843) 293-8101
Fax: (843) 293-8102
Website:
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Health care specialties

SpecialtyCodeLicense #State
Eye and Vision Services Providers / Optometrist 152W00000X SC755 South Carolina
Eye and Vision Services Providers / Optometrist 152W00000X NC1095 North Carolina

Profile Details

NPI number 1417933078
LBN Legal business name Williams, Robert Neal
Credentials Doctor of Optometry (OD)
Entity Individual
Sole proprietor 1 No
Enumeration date Dec 15th, 2005
Last updated Sep 9th, 2008 - about 17 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 1417933078 NPPES
North Carolina Other NC1095 STATE LICENSE
North Carolina Other SC755 STATE LICENSE
North Carolina MEDICAID D00755 STATE LICENSE
North Carolina MEDICAID 89093JX STATE LICENSE

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