| Angel Oak Eye Center | |
|
2875 Maybank Hwy, Johns Island, SC 29455-4808 | |
| (843) 559-5333 | |
| (843) 559-5339 |
| Full Name | Angel Oak Eye Center |
|---|---|
| Type | Facility |
| Speciality | Optometrist |
| Location | 2875 Maybank Hwy, Johns Island, South Carolina |
| Accepts Medicare Assignments | Medicare enrolled and accepts medicare insurance. Providers at this facility may prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1548329097 | NPI | - | NPPES |
| DA9762 | Medicaid | SC | |
| DO9070 | Medicaid | SC |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 152W00000X | Optometrist | 907 (South Carolina) | Primary |
| Provider Name | Paul Bohac |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1275634362 PECOS PAC ID: 1355472259 Enrollment ID: I20100621000603 |
| Provider Name | Hannah B Cornelia |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1699335182 PECOS PAC ID: 4880922012 Enrollment ID: I20190826001064 |
| Provider Name | Emily Doran Rettew |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1700469772 PECOS PAC ID: 8123486081 Enrollment ID: I20230626000236 |
| Mailing Address | Practice Location Address |
|---|---|
| Angel Oak Eye Center Po Box 874, Johns Island, SC 29457-0874 Ph: (843) 559-5333 | Angel Oak Eye Center 2875 Maybank Hwy, Johns Island, SC 29455-4808 Ph: (843) 559-5333 |
Dr. Derek Scott Maroun, O.D. Optometrist Medicare: Accepting Medicare Assignments Practice Location: 634 Freshfields Drive, Johns Island, SC 29455 Phone: 843-768-0565 Fax: 843-768-0566 | |
Paul W Bohac, OD Optometrist Medicare: Accepting Medicare Assignments Practice Location: 2875 Maybank Hwy, Johns Island, SC 29455 Phone: 843-559-5333 Fax: 843-559-5339 | |
Village Optical Optometrist Medicare: Medicare Enrolled Practice Location: 634 Freshfields Drive, Johns Island, SC 29455 Phone: 843-768-0565 Fax: 843-768-0566 | |
Village Optical Optometrist Medicare: Not Enrolled in Medicare Practice Location: 130 Gardners Cir, Pmb 159, Johns Island, SC 29455 Phone: 843-768-0565 | |
Village Optical Llc Optometrist Medicare: Not Enrolled in Medicare Practice Location: 634 Freshfields Drive, Johns Island, SC 29455 Phone: 843-768-0565 Fax: 843-768-0566 |