Antley, Rufus Bedford

Antley, Rufus Bedford is an sole proprietor health care provider with primary practice located at 117 W Church St , Batesburg SC 29006-2108. He recently has only one registered license in Eye and Vision Services Providers / Optometrist, which is considered as his primary health care specialty. Antley, Rufus Bedford can be contacted via phone (803) 532-9870.

Contact Information

Primary practice address
117 W Church St Batesburg SC 29006-2108
Phone: (803) 532-9870
Fax: (803) 532-1259
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Eye and Vision Services Providers / Optometrist 152W00000X 433 South Carolina

Profile Details

NPI number 1306835582
LBN Legal business name Antley, Rufus Bedford
Credentials Doctor of Optometry (OD)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Oct 19th, 2005
Last updated Feb 26th, 2008 - about 18 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 1306835582 NPPES
South Carolina Other 0652760001 DMERC
South Carolina Other 570629655-002 DMERC
South Carolina MEDICAID D04332 DMERC

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