| None | |
|
1201 Knox Ave, North Augusta, SC 29841-4056 | |
| (803) 279-0188 | |
| Not Available |
| Full Name | None |
|---|---|
| Type | Facility |
| Speciality | Optometrist |
| Location | 1201 Knox Ave, North Augusta, 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 |
|---|---|---|---|
| 1437433430 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 152W00000X | Optometrist | 1341 (South Carolina) | Primary |
| Provider Name | Yan Wu |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1538266465 PECOS PAC ID: 5890839294 Enrollment ID: I20111026000042 |
| Mailing Address | Practice Location Address |
|---|---|
| None 775 Locks Way, Martinez, GA 30907-4975 Ph: (706) 364-7863 | None 1201 Knox Ave, North Augusta, SC 29841-4056 Ph: (803) 279-0188 |
Basil Norman Coombs, OD Optometrist Medicare: Medicare Enrolled Practice Location: 1201 Knox Ave, North Augusta, SC 29841 Phone: 803-442-3050 Fax: 803-202-0275 | |
John W.l. Smith Od Pa Optometrist Medicare: Not Enrolled in Medicare Practice Location: 531 Georgia Ave, North Augusta, SC 29841 Phone: 803-279-5277 Fax: 803-279-0699 | |
Dr. John W.l. Smith, OD Optometrist Medicare: Medicare Enrolled Practice Location: 531 Georgia Ave, North Augusta, SC 29841 Phone: 803-279-5277 Fax: 803-279-0699 | |
Joy Ellenberger, O.D. Optometrist Medicare: Not Enrolled in Medicare Practice Location: 531 Georgia Ave, North Augusta, SC 29841 Phone: 803-279-5277 | |
Dr. Jeffrey David Kozlowski, OD Optometrist Medicare: Accepting Medicare Assignments Practice Location: 336 Georgia Ave, Suite 102, North Augusta, SC 29841 Phone: 803-442-3006 Fax: 803-642-0754 |