Reynolds, William Roy
Reynolds, William Roy is an sole proprietor health care provider with primary practice located at 5166 Sunset Blvd Suite J, Lexington SC 29072-9258. He recently has only one registered license in Eye and Vision Services Providers / Optometrist, which is considered as his primary health care specialty. Reynolds, William Roy can be contacted via phone (803) 996-2020.Contact Information
Primary practice address
5166 Sunset Blvd Suite J
Lexington SC 29072-9258
Phone: (803) 996-2020
Fax: (803) 808-2917
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Eye and Vision Services Providers / Optometrist | 152W00000X | 1291 | South Carolina |
Profile Details
| NPI number | 1821187063 |
|---|---|
| LBN Legal business name | Reynolds, William Roy |
| Credentials | Doctor of Optometry (OD) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Oct 12th, 2006 |
| Last updated | Oct 29th, 2009 - about 17 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1821187063 | NPPES |
| South Carolina | MEDICAID | D12918 |
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