| Paul W Derrick, Od Pa | |
|
8096 Rivers Ave Ste A, North Charleston, SC 29406-9243 | |
| (843) 818-2020 | |
| (843) 818-2379 |
| Full Name | Paul W Derrick, Od Pa |
|---|---|
| Type | Facility |
| Speciality | Optometrist |
| Location | 8096 Rivers Ave Ste A, North Charleston, 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 |
|---|---|---|---|
| 1447693551 | NPI | - | NPPES |
| D04966 | Medicaid | SC |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 152W00000X | Optometrist | 496 (South Carolina) | Primary |
| Provider Name | Paul W Derrick |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1083674113 PECOS PAC ID: 7214942234 Enrollment ID: I20060213000596 |
| Mailing Address | Practice Location Address |
|---|---|
| Paul W Derrick, Od Pa 8096 Rivers Ave Ste A, North Charleston, SC 29406-9243 Ph: (843) 818-2020 | Paul W Derrick, Od Pa 8096 Rivers Ave Ste A, North Charleston, SC 29406-9243 Ph: (843) 818-2020 |
Alyssa Jagdeo, OD Optometrist Medicare: Not Enrolled in Medicare Practice Location: 7800 Rivers Ave, North Charleston, SC 29406 Phone: 843-572-3404 | |
Megan Riha, OD Optometrist Medicare: Medicare Enrolled Practice Location: 2150 Northwoods Blvd Unit E2, North Charleston, SC 29406 Phone: 843-829-2020 | |
Joo Eun Choe Inc Optometrist Medicare: Not Enrolled in Medicare Practice Location: 2150 Northwoods Blvd, North Charleston, SC 29406 Phone: 843-818-2222 | |
Shaye S Hurd, OD Optometrist Medicare: Accepting Medicare Assignments Practice Location: 7801 Rivers Ave, Sears Building, North Charleston, SC 29406 Phone: 843-572-6622 Fax: 843-572-1528 | |
Linda Susan Reynolds, O.D. Optometrist Medicare: Accepting Medicare Assignments Practice Location: 7400 Rivers Ave, North Charleston, SC 29406 Phone: 843-824-2424 Fax: 843-572-0395 | |
Dr. Colvin Hunter Odonnell, O.D. Optometrist Medicare: Not Enrolled in Medicare Practice Location: 2150 Northwoods Blvd, North Charleston, SC 29406 Phone: 843-818-2222 | |
Dr. Dana Wesley Wheeler, O.D. Optometrist Medicare: Not Enrolled in Medicare Practice Location: 2150 Northwoods Blvd Unit E-2, North Charleston, SC 29406 Phone: 843-572-5738 Fax: 843-572-7282 |