Meredith, Phillip

Meredith, Phillip is an individual health care provider with primary practice located at 901 Bush River Rd , Columbia SC 29210-7516. He recently has only one registered license in Eye and Vision Services Providers / Optometrist, which is considered as his primary health care specialty. Meredith, Phillip can be contacted via phone (803) 798-2290.

Contact Information

Primary practice address
901 Bush River Rd Columbia SC 29210-7516
Fax:
Website:

Health care specialties

SpecialtyCodeLicense #State
Eye and Vision Services Providers / Optometrist 152W00000X 1028 South Carolina

Profile Details

NPI number 1740256841
LBN Legal business name Meredith, Phillip
Credentials Doctor of Optometry (OD)
Entity Individual
Sole proprietor 1 No
Enumeration date Feb 27th, 2006
Last updated Jan 24th, 2008 - about 18 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 1740256841 NPPES
South Carolina MEDICAID D10281

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