Dr Colleen Patricia Hennelly, OD | |
7631 Rivers Ave, North Charleston, SC 29406-4022 | |
(773) 350-1085 | |
Not Available |
Full Name | Dr Colleen Patricia Hennelly |
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Gender | Female |
Speciality | Optometrist |
Location | 7631 Rivers Ave, North Charleston, South Carolina |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1316159742 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
152W00000X | Optometrist | 1377 (South Carolina) | Primary |
Provider Name | Shoptikal Llc |
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Provider Type | Part B Supplier - Clinic/group Practice |
Provider Identifiers | NPI Number: 1659937159 PECOS PAC ID: 1456684471 Enrollment ID: O20190606001553 |
Mailing Address | Practice Location Address |
---|---|
Dr Colleen Patricia Hennelly, OD 1600 Long Grove Dr, # 1023, Mt Pleasant, SC 29464-7402 Ph: (773) 350-1085 | Dr Colleen Patricia Hennelly, OD 7631 Rivers Ave, North Charleston, SC 29406-4022 Ph: (773) 350-1085 |
Alyssa Jagdeo, OD Optometrist Medicare: Not Enrolled in Medicare Practice Location: 7800 Rivers Ave, North Charleston, SC 29406 Phone: 843-572-3404 | |
Megan Riha, OD Optometrist Medicare: Medicare Enrolled Practice Location: 2150 Northwoods Blvd Unit E2, North Charleston, SC 29406 Phone: 843-829-2020 | |
Joo Eun Choe Inc Optometrist Medicare: Not Enrolled in Medicare Practice Location: 2150 Northwoods Blvd, North Charleston, SC 29406 Phone: 843-818-2222 | |
Shaye S Hurd, OD Optometrist Medicare: Accepting Medicare Assignments Practice Location: 7801 Rivers Ave, Sears Building, North Charleston, SC 29406 Phone: 843-572-6622 Fax: 843-572-1528 | |
Linda Susan Reynolds, O.D. Optometrist Medicare: Accepting Medicare Assignments Practice Location: 7400 Rivers Ave, North Charleston, SC 29406 Phone: 843-824-2424 Fax: 843-572-0395 | |
Dr. Colvin Hunter Odonnell, O.D. Optometrist Medicare: Not Enrolled in Medicare Practice Location: 2150 Northwoods Blvd, North Charleston, SC 29406 Phone: 843-818-2222 | |
Dr. Dana Wesley Wheeler, O.D. Optometrist Medicare: Not Enrolled in Medicare Practice Location: 2150 Northwoods Blvd Unit E-2, North Charleston, SC 29406 Phone: 843-572-5738 Fax: 843-572-7282 |