| David H Mckenzie Jr Od Inc | |
|
2010 Browning Gate Rd, Estill, SC 29918-2428 | |
| (803) 625-3384 | |
| (803) 625-3579 |
| Full Name | David H Mckenzie Jr Od Inc |
|---|---|
| Type | Facility |
| Speciality | Optometrist |
| Location | 2010 Browning Gate Rd, Estill, 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 |
|---|---|---|---|
| 1881817526 | NPI | - | NPPES |
| 4508790001 | Other | SC | MEDICARE DME |
| DA9763 | Medicaid | SC |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 152W00000X | Optometrist | (* (Not Available)) | Primary |
| Provider Name | David Mckenzie |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1962511592 PECOS PAC ID: 3173737665 Enrollment ID: I20120420000618 |
| Mailing Address | Practice Location Address |
|---|---|
| David H Mckenzie Jr Od Inc 2010 Browning Gate Rd, Po Box 398, Estill, SC 29918-2428 Ph: (803) 625-3384 | David H Mckenzie Jr Od Inc 2010 Browning Gate Rd, Estill, SC 29918-2428 Ph: (803) 625-3384 |
Dr. Norman E Wood, O.D. Optometrist Medicare: Not Enrolled in Medicare Practice Location: 2010 Browning Gate Rd, Estill, SC 29918 Phone: 803-625-3384 Fax: 803-625-3579 | |
Dr. Michelle Marie Mckenzie, OD Optometrist Medicare: Not Enrolled in Medicare Practice Location: 2010 Browning Gate Road, Estill, SC 29918 Phone: 803-625-3384 Fax: 803-625-3579 | |
Dr. David H Mckenzie Jr., O.D. Optometrist Medicare: May Accept Medicare Assignments Practice Location: 2010 Browning Gate Rd, Estill, SC 29918 Phone: 803-625-3384 Fax: 803-625-3579 |