Pockl, Jeffrey Stephen

Pockl, Jeffrey Stephen is an individual health care provider with primary practice located at 2900B Devine St , Columbia SC 29205-1842. He recently has only one registered license in Eye and Vision Services Providers / Optometrist, which is considered as his primary health care specialty. Pockl, Jeffrey Stephen can be contacted via phone (803) 376-4545.

Contact Information

Primary practice address
2900B Devine St Columbia SC 29205-1842
Phone: (803) 376-4545
Fax: (803) 254-2324
Website:
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Health care specialties

SpecialtyCodeLicense #State
Eye and Vision Services Providers / Optometrist 152W00000X 1053 South Carolina

Profile Details

NPI number 1659364826
LBN Legal business name Pockl, Jeffrey Stephen
Credentials Doctor of Optometry (OD)
Entity Individual
Sole proprietor 1 No
Enumeration date Aug 23rd, 2005
Last updated Aug 19th, 2010 - about 16 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 1659364826 NPPES
South Carolina MEDICAID D10539

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