Justin Henry Surratt, OD | |
931 Tiger Blvd, Clemson, SC 29631-1419 | |
(864) 654-6706 | |
Not Available |
Full Name | Justin Henry Surratt |
---|---|
Gender | Male |
Speciality | Optometry |
Experience | 11 Years |
Location | 931 Tiger Blvd, Clemson, South Carolina |
Accepts Medicare Assignments | Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
Identifier | Type | State | Issuer |
---|---|---|---|
1255672010 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
152W00000X | Optometrist | 0003008 (Colorado) | Primary |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
Clemson Eye Pa | 4183537764 | 46 |
Provider Name | Clemson Eye Pa |
---|---|
Provider Type | Part B Supplier - Clinic/group Practice |
Provider Identifiers | NPI Number: 1447383831 PECOS PAC ID: 4183537764 Enrollment ID: O20031110000508 |
Mailing Address | Practice Location Address |
---|---|
Justin Henry Surratt, OD Po Box 896189, Charlotte, NC 28289-6189 Ph: (864) 654-6706 | Justin Henry Surratt, OD 931 Tiger Blvd, Clemson, SC 29631-1419 Ph: (864) 654-6706 |
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