Jewell, Vickie L

Jewell, Vickie L is an individual health care provider with primary practice located at 689 Lancaster Byp E , Lancaster SC 29720-4727. She recently has only one registered license in Eye and Vision Services Providers / Optometrist, which is considered as her primary health care specialty. Jewell, Vickie L can be contacted via phone (803) 283-2020.

Contact Information

Primary practice address
689 Lancaster Byp E Lancaster SC 29720-4727
Fax: (803) 286-0734
Website:

Health care specialties

SpecialtyCodeLicense #State
Eye and Vision Services Providers / Optometrist 152W00000X 1043 South Carolina

Profile Details

NPI number 1861456899
LBN Legal business name Jewell, Vickie L
Credentials Doctor of Optometry (OD)
Entity Individual
Sole proprietor 1 No
Enumeration date Apr 14th, 2006
Last updated Oct 16th, 2013 - about 13 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 1861456899 NPPES
South Carolina MEDICAID D10432
South Carolina Other 6530

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