| |
108-a N. Jennings St., Saluda, SC 29138 | |
(864) 445-9667 | |
(864) 445-9332 |
Full Name | |
---|---|
Type | Facility |
Speciality | Optometrist |
Location | 108-a N. Jennings St., Saluda, South Carolina |
Accepts Medicare Assignments | Does not participate in Medicare Program. The facility may not accept medicare assignment. |
Identifier | Type | State | Issuer |
---|---|---|---|
1497830996 | NPI | - | NPPES |
DA9719 | Medicaid | SC |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
152W00000X | Optometrist | 433 (South Carolina) | Primary |
Mailing Address | Practice Location Address |
---|---|
117 W Church St, Batesburg, SC 29006-2108 Ph: (803) 532-9870 | 108-a N. Jennings St., Saluda, SC 29138 Ph: (864) 445-9667 |