Deavers, James F
Deavers, James F is an individual health care provider with primary practice located at 1317 N Main St , Summerville SC 29483-7342. He recently has only one registered license in Eye and Vision Services Providers / Optometrist, which is considered as his primary health care specialty. Deavers, James F can be contacted via phone (843) 871-4995.Contact Information
Primary practice address
1317 N Main St
Summerville SC 29483-7342
Phone: (843) 871-4995
Fax: (843) 871-5999
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Eye and Vision Services Providers / Optometrist | 152W00000X | 0663 | South Carolina |
Profile Details
| NPI number | 1154364693 |
|---|---|
| LBN Legal business name | Deavers, James F |
| Credentials | Doctor of Optometry (OD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jun 13th, 2006 |
| Last updated | Sep 10th, 2007 - about 19 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 | 1154364693 | NPPES |
| South Carolina | MEDICAID | D06633 |
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