Custom Eyes Vision Care Inc

LBN: Custom Eyes Vision Care Inc
Custom Eyes Vision Care Inc is an health care organization with primary practice located at 7400 Rivers Ave , North Charleston SC 29406-4644. The organization recently has only one registered license in Eye and Vision Services Providers / Optometrist, which is considered as the primary health care specialty. Custom Eyes Vision Care Inc can be contacted via phone (843) 824-2424, or through Reynolds, Linda via phone (843) 824-2424.

Contact Information

Primary practice address
7400 Rivers Ave North Charleston SC 29406-4644
Phone: (843) 824-2424
Fax:
Website:
Map and Directions
Authorized official contact:
Name: Reynolds, Linda Doctor of Optometry (OD)
Phone: (843) 824-2424

Health care specialties

SpecialtyCodeLicense #State
Eye and Vision Services Providers / Optometrist 152W00000X 1229 South Carolina

Profile Details

NPI number 1649321647
LBN Legal business name Custom Eyes Vision Care Inc
DBA Doing business as
Authorized official Reynolds, Linda Doctor of Optometry (OD)
Entity Organization
Organization subpart 1 No
Enumeration date Jan 16th, 2007
Last updated Jul 17th, 2020 - about 6 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 1649321647 NPPES
South Carolina MEDICAID DA9663

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