Alva S Pack Iii Pa
LBN: Alva S Pack Iii Pa
Alva S Pack Iii Pa is an health care organization with primary practice located at 399 E Henry St , Spartanburg SC 29302-2639. The organization recently has only one registered license in Eye and Vision Services Providers / Optometrist, which is considered as the primary health care specialty.
Alva S Pack Iii Pa can be contacted via phone (864) 585-0208, or through Martin, Louis Ligon via phone (864) 585-0208.
Contact Information
Primary practice address
399 E Henry St
Spartanburg SC 29302-2639
Phone: (864) 585-0208
Fax: (864) 594-6783
Website:
Authorized official contact:
Name: Martin, Louis Ligon Doctor of Optometry (OD)
Phone: (864) 585-0208
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Eye and Vision Services Providers / Optometrist | 152W00000X | 489 | South Carolina |
Profile Details
| NPI number | 1780608463 |
|---|---|
| LBN Legal business name | Alva S Pack Iii Pa |
| DBA Doing business as | |
| Authorized official | Martin, Louis Ligon Doctor of Optometry (OD) |
| Entity | Organization |
| Organization subpart 1 | No |
| Enumeration date | Jul 27th, 2006 |
| Last updated | Jun 6th, 2013 - about 13 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1780608463 | NPPES |
| South Carolina | Other | 1922063940 | NPI |
| South Carolina | Other | 1407811573 | NPI |
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