Carolina Vision Associates, Llc

LBN: Carolina Vision Associates, Llc
Carolina Vision Associates, Llc is an health care organization with primary practice located at 363 E. Georgia St , Woodruff SC 29388. The organization recently has only one registered license in Eye and Vision Services Providers / Optometrist, which is considered as the primary health care specialty. Carolina Vision Associates, Llc can be contacted via phone (864) 476-8322, or through Willard, Kimberly via phone (864) 583-3125.

Contact Information

Primary practice address
363 E. Georgia St Woodruff SC 29388
Phone: (864) 476-8322
Fax: (864) 476-0752
Website:
Map and Directions
Authorized official contact:
Name: Willard, Kimberly
Phone: (864) 583-3125

Health care specialties

SpecialtyCodeLicense #State
Eye and Vision Services Providers / Optometrist 152W00000X 1092 South Carolina

Profile Details

NPI number 1134448806
LBN Legal business name Carolina Vision Associates, Llc
DBA Doing business as
Authorized official Willard, Kimberly
Entity Organization
Organization subpart 1 Yes
Enumeration date May 20th, 2010
Last updated Apr 11th, 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1134448806 NPPES
South Carolina MEDICAID DA9837

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