Draisin Vision Group Pa
LBN: Draisin Vision Group Pa
Draisin Vision Group Pa is an health care organization with primary practice located at 1470 Tobias Gadson Blvd Suite 115, Charleston SC 29407-4707. The organization recently has 5 registered licenses in different health care specialties including Eye and Vision Services Providers / Optometrist, Eye and Vision Services Providers / Corneal and Contact Management, Eye and Vision Services Providers / Low Vision Rehabilitation, Eye and Vision Services Providers / Sports Vision, Eye and Vision Services Providers / Vision Therapy. Eye and Vision Services Providers / Optometrist is the primary health care specialty.
Draisin Vision Group Pa can be contacted via phone (843) 556-2020, or through Bessinger, Bridget Kelly via phone (843) 556-2020.
Contact Information
Primary practice address
1470 Tobias Gadson Blvd Suite 115
Charleston SC 29407-4707
Phone: (843) 556-2020
Fax: (843) 763-3937
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Eye and Vision Services Providers / Optometrist | 152W00000X | 503 | South Carolina |
| Eye and Vision Services Providers / Optometrist | 152W00000X | 1413 | South Carolina |
| Eye and Vision Services Providers / Corneal and Contact Management | 152WC0802X | 503 | South Carolina |
| Eye and Vision Services Providers / Corneal and Contact Management | 152WC0802X | 1413 | South Carolina |
| Eye and Vision Services Providers / Low Vision Rehabilitation | 152WL0500X | 1413 | South Carolina |
| Eye and Vision Services Providers / Sports Vision | 152WS0006X | 503 | South Carolina |
| Eye and Vision Services Providers / Vision Therapy | 152WV0400X | 503 | South Carolina |
Profile Details
| NPI number | 1174726210 |
|---|---|
| LBN Legal business name | Draisin Vision Group Pa |
| DBA Doing business as | |
| Authorized official | Bessinger, Bridget Kelly |
| Entity | Organization |
| Organization subpart 1 | No |
| Enumeration date | Jun 7th, 2007 |
| Last updated | Nov 12th, 2015 - about 11 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1174726210 | NPPES |
| South Carolina | MEDICAID | D05037 | |
| South Carolina | Other | 1548226822 | |
| South Carolina | Other | 1730305434 |
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