Camden Eye Care Center

LBN: Theodore G. Crook Inc.
Camden Eye Care Center is an health care organization with primary practice located at 408 Dekalb St Suite C, Camden SC 29020-4429. The organization recently has only one registered license in Eye and Vision Services Providers / Optometrist, which is considered as the primary health care specialty. Theodore G. Crook Inc. can be contacted via phone (803) 424-1142, or through Crook, Theodore G via phone (803) 424-1142.

Contact Information

Primary practice address
408 Dekalb St Suite C Camden SC 29020-4429
Fax:
Website:
Authorized official contact:
Name: Crook, Theodore G Doctor of Optometry (OD)

Health care specialties

SpecialtyCodeLicense #State
Eye and Vision Services Providers / Optometrist 152W00000X 0413 South Carolina

Profile Details

NPI number 1255314274
LBN Legal business name Theodore G. Crook Inc.
DBA Doing business as Camden Eye Care Center
Authorized official Crook, Theodore G Doctor of Optometry (OD)
Entity Organization
Organization subpart 1 No
Enumeration date Nov 23rd, 2005
Last updated Aug 12th, 2008 - about 18 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 1255314274 NPPES
South Carolina MEDICAID DA9937
South Carolina MEDICAID DO4136

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