Dr Angelo Joseph Devivo, OD | |
1774 Paxville Hwy, Manning, SC 29102-5071 | |
(803) 435-2494 | |
(803) 435-8765 |
Full Name | Dr Angelo Joseph Devivo |
---|---|
Gender | Male |
Speciality | Optometry |
Experience | 33 Years |
Location | 1774 Paxville Hwy, Manning, South Carolina |
Accepts Medicare Assignments | Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
Identifier | Type | State | Issuer |
---|---|---|---|
1326040536 | NPI | - | NPPES |
D21171 | Medicaid | SC |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
152W00000X | Optometrist | 4531 T1261 (Ohio) | Secondary |
152W00000X | Optometrist | 2117 (South Carolina) | Primary |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
Myeyedr Optometry Of South Carolina, Llc | 3173741618 | 18 |
Provider Name | Family Health Centers, Inc. |
---|---|
Provider Type | Part B Supplier - Clinic/group Practice |
Provider Identifiers | NPI Number: 1144248451 PECOS PAC ID: 2860305075 Enrollment ID: O20031112000393 |
Provider Name | Myeyedr Optometry Of South Carolina, Llc |
---|---|
Provider Type | Part B Supplier - Clinic/group Practice |
Provider Identifiers | NPI Number: 1205248481 PECOS PAC ID: 3173741618 Enrollment ID: O20140826001090 |
Mailing Address | Practice Location Address |
---|---|
Dr Angelo Joseph Devivo, OD 8614 Westwood Center Dr Fl 9, Vienna, VA 22182-2442 Ph: (703) 847-8899 | Dr Angelo Joseph Devivo, OD 1774 Paxville Hwy, Manning, SC 29102-5071 Ph: (803) 435-2494 |
Ashlee Finnell, OD Optometrist Medicare: Medicare Enrolled Practice Location: 1774 Paxville Hwy, Manning, SC 29102 Phone: 803-435-8765 | |
Clarendon Eye Center P A Optometrist Medicare: Not Enrolled in Medicare Practice Location: 1774 Paxville Hwy, Manning, SC 29102 Phone: 803-435-2494 Fax: 803-435-8765 | |
Myeyedr. Optometrist Medicare: Medicare Enrolled Practice Location: 1774 Paxville Hwy, Manning, SC 29102 Phone: 803-435-2494 | |
Dr. Ryan Tyler Fullen, OD Optometrist Medicare: Medicare Enrolled Practice Location: 1774 Paxville Hwy, Manning, SC 29102 Phone: 803-435-2494 Fax: 803-435-8765 | |
Erin Elizabeth Walsh, OD Optometrist Medicare: Medicare Enrolled Practice Location: 1774 Paxville Hwy, Manning, SC 29102 Phone: 803-435-2494 | |
Michael David Spuller, OD Optometrist Medicare: Accepting Medicare Assignments Practice Location: 1774 Paxville Hwy, Manning, SC 29102 Phone: 803-435-2494 Fax: 803-435-8765 |