Plaxico Eye Care, Llc.

LBN: Plaxico Eye Care, Llc.
Plaxico Eye Care, Llc. is an health care organization with primary practice located at 749B University Village Dr , Blythewood SC 29016-7613. The organization recently has only one registered license in Eye and Vision Services Providers / Optometrist, which is considered as the primary health care specialty. Plaxico Eye Care, Llc. can be contacted via phone (803) 714-1116, or through Plaxico, Brent E. via phone (803) 714-1116.

Contact Information

Primary practice address
749B University Village Dr Blythewood SC 29016-7613
Phone: (803) 714-1116
Fax: (803) 714-1116
Website:
Map and Directions
Authorized official contact:
Name: Plaxico, Brent E. Doctor of Optometry (OD)
Phone: (803) 714-1116

Health care specialties

SpecialtyCodeLicense #State
Eye and Vision Services Providers / Optometrist 152W00000X 1412 South Carolina

Profile Details

NPI number 1578795902
LBN Legal business name Plaxico Eye Care, Llc.
DBA Doing business as
Authorized official Plaxico, Brent E. Doctor of Optometry (OD)
Entity Organization
Organization subpart 1 No
Enumeration date Aug 18th, 2009
Last updated Dec 5th, 2012 - about 14 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 1578795902 NPPES
South Carolina MEDICAID D14125

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