Dr Paul W Derrick, OD | |
7229 St Andrews Road, Irmo, SC 29063-0722 | |
(803) 781-2212 | |
(803) 233-2883 |
Full Name | Dr Paul W Derrick |
---|---|
Gender | Male |
Speciality | Optometrist |
Location | 7229 St Andrews Road, Irmo, 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 |
---|---|---|---|
1083674113 | NPI | - | NPPES |
D04966 | Medicaid | SC |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
152W00000X | Optometrist | 496 (South Carolina) | Primary |
Provider Name | Paul W Derrick Od Pa |
---|---|
Provider Type | Part B Supplier - Clinic/group Practice |
Provider Identifiers | NPI Number: 1447693551 PECOS PAC ID: 7113164187 Enrollment ID: O20130510000339 |
Mailing Address | Practice Location Address |
---|---|
Dr Paul W Derrick, OD 22 Beachwood W, Isle Of Palms, SC 29451-2899 Ph: (803) 781-2212 | Dr Paul W Derrick, OD 7229 St Andrews Road, Irmo, SC 29063-0722 Ph: (803) 781-2212 |
Drs Eye Care, Inc Optometrist Medicare: Medicare Enrolled Practice Location: 7323 College Street, Irmo, SC 29063 Phone: 803-750-6600 Fax: 803-750-6601 | |
Dr. Kathleen Purcell-cannon, O.D. Optometrist Medicare: Accepting Medicare Assignments Practice Location: 7323 College St, Irmo, SC 29063 Phone: 803-750-6600 Fax: 803-750-6601 | |
Focus Eye Care Center, Pc Optometrist Medicare: Not Enrolled in Medicare Practice Location: 1180 Dutch Fork Rd, Irmo, SC 29063 Phone: 803-227-4000 | |
Irmo Primary Eyecare Optometrist Medicare: Not Enrolled in Medicare Practice Location: 1180 Dutch Fork Rd, Irmo, SC 29063 Phone: 803-740-2635 Fax: 803-740-2635 | |
Sansbury Vision Services Llc Optometrist Medicare: Not Enrolled in Medicare Practice Location: 7588 Woodrow St, Irmo, SC 29063 Phone: 803-781-2123 Fax: 803-749-0183 |