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
Fax: (843) 871-5999
Website:

Health care specialties

SpecialtyCodeLicense #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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1154364693 NPPES
South Carolina MEDICAID D06633

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