Tidewater Vision Center

LBN: Allouch Optometry
Tidewater Vision Center is an health care organization with primary practice located at 1175 N Fraser St , Georgetown SC 29440-2851. The organization recently has only one registered license in Eye and Vision Services Providers / Optometrist, which is considered as the primary health care specialty. Allouch Optometry can be contacted via phone (843) 527-2682, or through Allouch, Fouad Safou via phone (843) 448-1596.

Contact Information

Primary practice address
1175 N Fraser St Georgetown SC 29440-2851
Phone: (843) 527-2682
Fax: (843) 527-2721
Website:
Map and Directions
Authorized official contact:
Name: Allouch, Fouad Safou Doctor of Optometry (OD)
Phone: (843) 448-1596

Health care specialties

SpecialtyCodeLicense #State
Eye and Vision Services Providers / Optometrist 152W00000X 1211 South Carolina

Profile Details

NPI number 1063629954
LBN Legal business name Allouch Optometry
DBA Doing business as Tidewater Vision Center
Authorized official Allouch, Fouad Safou Doctor of Optometry (OD)
Entity Organization
Organization subpart 1 No
Enumeration date May 17th, 2007
Last updated Aug 21st, 2007 - about 19 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 1063629954 NPPES
South Carolina MEDICAID D12118

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