Sungate Medical Group Llc | |
10 William Pope Dr, Bluffton, SC 29909-7549 | |
(843) 842-2020 | |
(843) 705-1512 |
Full Name | Sungate Medical Group Llc |
---|---|
Type | Facility |
Speciality | Ophthalmology |
Location | 10 William Pope Dr, Bluffton, 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 |
---|---|---|---|
1114322336 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
152W00000X | Optometrist | (* (Not Available)) | Secondary |
207W00000X | Ophthalmology | (* (Not Available)) | Primary |
Provider Name | Denise Weirick Carter |
---|---|
Provider Type | Practitioner - Optometry |
Provider Identifiers | NPI Number: 1356301956 PECOS PAC ID: 0143329854 Enrollment ID: I20070621000138 |
Provider Name | Kenneth D. Farr |
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Provider Type | Practitioner - Ophthalmology |
Provider Identifiers | NPI Number: 1740366244 PECOS PAC ID: 4688606833 Enrollment ID: I20120123000196 |
Provider Name | Bart V Depascale |
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Provider Type | Practitioner - Optometry |
Provider Identifiers | NPI Number: 1457357436 PECOS PAC ID: 5890822597 Enrollment ID: I20130115000044 |
Provider Name | Clint David Paxson |
---|---|
Provider Type | Practitioner - Optometry |
Provider Identifiers | NPI Number: 1346216546 PECOS PAC ID: 4486673910 Enrollment ID: I20150402000931 |
Provider Name | David A Hunter |
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Provider Type | Practitioner - Ophthalmology |
Provider Identifiers | NPI Number: 1124311311 PECOS PAC ID: 4183937303 Enrollment ID: I20150717000062 |
Provider Name | Kathleen Clary |
---|---|
Provider Type | Practitioner - Optometry |
Provider Identifiers | NPI Number: 1609849389 PECOS PAC ID: 5890724116 Enrollment ID: I20171227000386 |
Provider Name | Kevin P O'connor |
---|---|
Provider Type | Practitioner - Optometry |
Provider Identifiers | NPI Number: 1407070022 PECOS PAC ID: 6305262460 Enrollment ID: I20200819003269 |
Provider Name | Vincent M Deninis |
---|---|
Provider Type | Practitioner - Optometry |
Provider Identifiers | NPI Number: 1730660846 PECOS PAC ID: 4587908934 Enrollment ID: I20210104000317 |
Mailing Address | Practice Location Address |
---|---|
Sungate Medical Group Llc 10 William Pope Dr, Bluffton, SC 29909-7549 Ph: (843) 842-2020 | Sungate Medical Group Llc 10 William Pope Dr, Bluffton, SC 29909-7549 Ph: (843) 842-2020 |