Anderson, James Keith
Anderson, James Keith is an sole proprietor health care provider with primary practice located at 4010 East North Street , Greenville SC 29615. He recently has only one registered license in Eye and Vision Services Providers / Optometrist, which is considered as his primary health care specialty. Anderson, James Keith can be contacted via phone (864) 292-0262.Contact Information
Primary practice address
4010 East North Street
Greenville SC 29615
Phone: (864) 292-0262
Fax: (864) 292-0262
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Eye and Vision Services Providers / Optometrist | 152W00000X | 648 | South Carolina |
Profile Details
| NPI number | 1548227283 |
|---|---|
| LBN Legal business name | Anderson, James Keith |
| Credentials | Doctor of Optometry (OD) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Apr 27th, 2006 |
| Last updated | Feb 13th, 2012 - about 14 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 | 1548227283 | NPPES |
| South Carolina | MEDICAID | OD0648 |
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