Wallace Vision Center

LBN: August M Wallace Enterprises, Llc
Wallace Vision Center is an health care organization with primary practice located at 805 Highway 9 Byp W , Lancaster SC 29720. The organization recently has only one registered license in Eye and Vision Services Providers / Optometrist, which is considered as the primary health care specialty. August M Wallace Enterprises, Llc can be contacted via phone (803) 286-4836, or through Wallace, August M via phone (803) 201-8526.

Contact Information

Primary practice address
805 Highway 9 Byp W Lancaster SC 29720
Phone: (803) 286-4836
Fax:
Website:
Map and Directions
Authorized official contact:
Name: Wallace, August M Doctor of Optometry (OD)
Phone: (803) 201-8526

Health care specialties

SpecialtyCodeLicense #State
Eye and Vision Services Providers / Optometrist 152W00000X 1483 South Carolina

Profile Details

NPI number 1114220738
LBN Legal business name August M Wallace Enterprises, Llc
DBA Doing business as Wallace Vision Center
Authorized official Wallace, August M Doctor of Optometry (OD)
Entity Organization
Organization subpart 1 No
Enumeration date Dec 21st, 2010
Last updated Dec 21st, 2010 - about 16 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 1114220738 NPPES
South Carolina MEDICAID D14839

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