Corley Vision Center

LBN: Landmark Leasing Inc
Corley Vision Center is an health care organization with primary practice located at 701 Bultman Drive , Sumter SC 29150. The organization recently has 2 registered licenses in different health care specialties including Eye and Vision Services Providers / Optometrist, Eye and Vision Services Providers / Optician. Eye and Vision Services Providers / Optometrist is the primary health care specialty. Landmark Leasing Inc can be contacted via phone (803) 773-4723, or through Mikell, Emily Folline via phone (803) 799-8168.

Contact Information

Primary practice address
701 Bultman Drive Sumter SC 29150
Phone: (803) 773-4723
Fax: (803) 775-5211
Website:
Map and Directions
Authorized official contact:
Name: Mikell, Emily Folline
Phone: (803) 799-8168

Health care specialties

SpecialtyCodeLicense #State
Eye and Vision Services Providers / Optometrist 152W00000X
Eye and Vision Services Providers / Optician 156FX1800X

Profile Details

NPI number 1538104963
LBN Legal business name Landmark Leasing Inc
DBA Doing business as Corley Vision Center
Authorized official Mikell, Emily Folline
Entity Organization
Organization subpart 1 No
Enumeration date Jun 19th, 2006
Last updated Mar 3rd, 2008 - about 18 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 1538104963 NPPES
South Carolina MEDICAID DA9862

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