Garrett, Samuel D

Garrett, Samuel D is an sole proprietor health care provider with primary practice located at 210 Mills Ave , Greenville SC 29605-4020. He recently has only one registered license in Eye and Vision Services Providers / Optometrist, which is considered as his primary health care specialty. Garrett, Samuel D can be contacted via phone (864) 232-2779.

Contact Information

Primary practice address
210 Mills Ave Greenville SC 29605-4020
Phone: (864) 232-2779
Fax: (864) 232-2751
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Eye and Vision Services Providers / Optometrist 152W00000X 714 South Carolina

Profile Details

NPI number 1982664702
LBN Legal business name Garrett, Samuel D
Credentials Doctor of Optometry (OD)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Mar 24th, 2006
Last updated Oct 15th, 2014 - about 12 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 1982664702 NPPES
South Carolina Other CL3462 RAIL ROAD MEDICARE
South Carolina Other 0643360001 RAIL ROAD MEDICARE
South Carolina Other 410023165 RAIL ROAD MEDICARE

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