Eye Associates Of Little River, Llc | |
4000 Highway 9 E, Suite 260, Little River, SC 29566-7833 | |
(843) 390-0058 | |
(843) 390-0999 |
Full Name | Eye Associates Of Little River, Llc |
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Type | Facility |
Speciality | Optometrist |
Location | 4000 Highway 9 E, Little River, 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 |
---|---|---|---|
1568404044 | NPI | - | NPPES |
DA9678 | Medicaid | SC | |
DN6087 | Other | SC | RAILROAD MEDICARE |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
152W00000X | Optometrist | 1408 (South Carolina) | Primary |
152W00000X | Optometrist | 1409 (South Carolina) | Secondary |
Provider Name | Jason Lee Diamond |
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Provider Type | Practitioner - Optometry |
Provider Identifiers | NPI Number: 1780683698 PECOS PAC ID: 0345279212 Enrollment ID: I20060804000054 |
Provider Name | Sandra L Kozel-diamond |
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Provider Type | Practitioner - Optometry |
Provider Identifiers | NPI Number: 1316933989 PECOS PAC ID: 7315974888 Enrollment ID: I20060804000062 |
Mailing Address | Practice Location Address |
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Eye Associates Of Little River, Llc 4000 Highway 9 E, Suite 260, Little River, SC 29566-7833 Ph: (843) 390-0058 | Eye Associates Of Little River, Llc 4000 Highway 9 E, Suite 260, Little River, SC 29566-7833 Ph: (843) 390-0058 |
Dr. Sandra L Kozel-diamond, OD Optometrist Medicare: Accepting Medicare Assignments Practice Location: 4000 Highway 9 E, Suite 260, Little River, SC 29566 Phone: 843-390-0058 Fax: 843-390-0999 | |
Dr. Jason L. Diamond, O.D. Optometrist Medicare: Accepting Medicare Assignments Practice Location: 3700 Sawtell Rd, Suite B, Little River, SC 29566 Phone: 843-390-0058 Fax: 843-390-9990 |