Pee Dee Eye Associates, Pa

LBN: Pee Dee Eye Associates, Pa
Pee Dee Eye Associates, Pa is an health care organization with primary practice located at 528 Broad St Ste 101, Sumter SC 29150-3368. The organization recently has only one registered license in Eye and Vision Services Providers / Optometrist, which is considered as the primary health care specialty. Pee Dee Eye Associates, Pa can be contacted via phone (803) 775-1772, or through Rush, Ann via phone (843) 332-7171.

Contact Information

Primary practice address
528 Broad St Ste 101 Sumter SC 29150-3368
Phone: (803) 775-1772
Fax: (803) 775-4729
Website:
Map and Directions
Authorized official contact:
Name: Rush, Ann
Phone: (843) 332-7171

Health care specialties

SpecialtyCodeLicense #State
Eye and Vision Services Providers / Optometrist 152W00000X 1422 South Carolina

Profile Details

NPI number 1861894115
LBN Legal business name Pee Dee Eye Associates, Pa
DBA Doing business as
Authorized official Rush, Ann
Entity Organization
Organization subpart 1 Yes
Enumeration date Sep 18th, 2014
Last updated Sep 18th, 2014 - about 12 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 1861894115 NPPES
South Carolina MEDICAID 459665
South Carolina MEDICAID D04546
South Carolina MEDICAID D13340

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