| |
600 Knox Abbott Dr, Cayce West Columbia, SC 29033 | |
(803) 794-4444 | |
Not Available |
Full Name | |
---|---|
Type | Facility |
Speciality | Optometrist |
Location | 600 Knox Abbott Dr, Cayce West Columbia, South Carolina |
Accepts Medicare Assignments | Does not participate in Medicare Program. The facility may not accept medicare assignment. |
Identifier | Type | State | Issuer |
---|---|---|---|
1952490237 | NPI | - | NPPES |
DA9983 | Medicaid | SC |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
152W00000X | Optometrist | SC490 (South Carolina) | Primary |
Mailing Address | Practice Location Address |
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314 Columbia Ave, Lexington, SC 29072 Ph: (803) 359-2294 | 600 Knox Abbott Dr, Cayce West Columbia, SC 29033 Ph: (803) 794-4444 |