Full Name | |
---|---|
Type | Facility |
Speciality | Ophthalmology |
Location | 615 Laurens St, Camden, 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 |
---|---|---|---|
1467594408 | NPI | - | NPPES |
471678 | Medicaid | SC |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
152W00000X | Optometrist | 596 (South Carolina) | Secondary |
207W00000X | Ophthalmology | 26982 (South Carolina) | Primary |
Mailing Address | Practice Location Address |
---|---|
615 Laurens St, Camden, SC 29020 Ph: (803) 432-6765 | 615 Laurens St, Camden, SC 29020 Ph: (803) 432-6765 |