Johansen Precision Eye Care Llc | |
214 Waller Ave, Greenwood, SC 29646-2747 | |
(864) 543-3939 | |
(864) 538-6284 |
Full Name | Johansen Precision Eye Care Llc |
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Type | Facility |
Speciality | Optometrist |
Location | 214 Waller Ave, Greenwood, 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 |
---|---|---|---|
1184009540 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
152W00000X | Optometrist | 1872 (South Carolina) | Primary |
Provider Name | Norris R Philbeck |
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Provider Type | Practitioner - Optometry |
Provider Identifiers | NPI Number: 1275608499 PECOS PAC ID: 9537337597 Enrollment ID: I20110718000288 |
Provider Name | Samuel L Johansen |
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Provider Type | Practitioner - Optometry |
Provider Identifiers | NPI Number: 1497136139 PECOS PAC ID: 3577864743 Enrollment ID: I20151211001095 |
Mailing Address | Practice Location Address |
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Johansen Precision Eye Care Llc Po Box 238, Ninety Six, SC 29666-0238 Ph: (864) 223-6062 | Johansen Precision Eye Care Llc 214 Waller Ave, Greenwood, SC 29646-2747 Ph: (864) 543-3939 |
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