Dr. Thomas C. Edewaard

LBN: Dr. Thomas C. Edewaard
Dr. Thomas C. Edewaard is an health care organization with primary practice located at 705 Old Trolley Rd Ste A, Summerville SC 29485-5212. The organization recently has only one registered license in Eye and Vision Services Providers / Optometrist, which is considered as the primary health care specialty. Dr. Thomas C. Edewaard can be contacted via phone (843) 821-9300, or through Edewaard, Thomas C. via phone (843) 821-9300.

Contact Information

Primary practice address
705 Old Trolley Rd Ste A Summerville SC 29485-5212
Phone: (843) 821-9300
Fax: (843) 821-9300
Website:
Map and Directions
Authorized official contact:
Name: Edewaard, Thomas C. Doctor of Optometry (OD)
Phone: (843) 821-9300

Health care specialties

SpecialtyCodeLicense #State
Eye and Vision Services Providers / Optometrist 152W00000X SC972 South Carolina

Profile Details

NPI number 1770884264
LBN Legal business name Dr. Thomas C. Edewaard
DBA Doing business as
Authorized official Edewaard, Thomas C. Doctor of Optometry (OD)
Entity Organization
Organization subpart 1 No
Enumeration date Nov 15th, 2010
Last updated Nov 15th, 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 1770884264 NPPES
South Carolina MEDICAID D09729

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