Poole Eyecare Pa

LBN: Poole Eyecare Pa
Poole Eyecare Pa is an health care organization with primary practice located at 121 Bethel St , Clover SC 29710-1101. The organization recently has only one registered license in Eye and Vision Services Providers / Optometrist, which is considered as the primary health care specialty. Poole Eyecare Pa can be contacted via phone (803) 222-9538, or through Poole, Benjamin C via phone (803) 222-9538.

Contact Information

Primary practice address
121 Bethel St Clover SC 29710-1101
Phone: (803) 222-9538
Fax: (803) 222-1898
Website:
Map and Directions
Authorized official contact:
Name: Poole, Benjamin C Doctor of Optometry (OD)
Phone: (803) 222-9538

Health care specialties

SpecialtyCodeLicense #State
Eye and Vision Services Providers / Optometrist 152W00000X SC728 South Carolina

Profile Details

NPI number 1699733501
LBN Legal business name Poole Eyecare Pa
DBA Doing business as
Authorized official Poole, Benjamin C Doctor of Optometry (OD)
Entity Organization
Organization subpart 1 No
Enumeration date May 2nd, 2006
Last updated Feb 14th, 2024 - about last year

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 1699733501 NPPES
South Carolina MEDICAID D07286

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