Elliott, James D

Elliott, James D is an individual health care provider with primary practice located at 3531 Mary Ader Ave Suite B, Charleston SC 29414-5896. He recently has only one registered license in Eye and Vision Services Providers / Optometrist, which is considered as his primary health care specialty. Elliott, James D can be contacted via phone (843) 577-2047.

Contact Information

Primary practice address
3531 Mary Ader Ave Suite B Charleston SC 29414-5896
Phone: (843) 577-2047
Fax: (843) 577-0640
Website:
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Health care specialties

SpecialtyCodeLicense #State
Eye and Vision Services Providers / Optometrist 152W00000X 1141 South Carolina

Profile Details

NPI number 1437136975
LBN Legal business name Elliott, James D
Credentials Doctor of Optometry (OD)
Entity Individual
Sole proprietor 1 No
Enumeration date Dec 27th, 2005
Last updated Oct 2nd, 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 1437136975 NPPES
South Carolina MEDICAID D11413

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