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8210b Devon Ct, Myrtle Beach, SC 29572-4178 | |
(214) 912-6207 | |
Not Available |
Full Name | |
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Type | Facility |
Speciality | Ophthalmology |
Location | 8210b Devon Ct, Myrtle Beach, 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 |
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1760189047 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
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152W00000X | Optometrist | (* (Not Available)) | Secondary |
207W00000X | Ophthalmology | (* (Not Available)) | Primary |
Provider Name | Thomas James D Orazio |
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Provider Type | Practitioner - Ophthalmology |
Provider Identifiers | NPI Number: 1508839424 PECOS PAC ID: 3274569405 Enrollment ID: I20230626002045 |
Mailing Address | Practice Location Address |
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8210b Devon Ct, Myrtle Beach, SC 29572-4178 Ph: (214) 912-6207 | 8210b Devon Ct, Myrtle Beach, SC 29572-4178 Ph: (214) 912-6207 |