| Aiken Ophthalmology Pc | |
|
110 Pepper Hill Way Aiken SC 29801-2818 | |
| (803) 642-6060 | |
| (803) 642-0754 |
| Full Name | Aiken Ophthalmology Pc |
|---|---|
| Speciality | Clinic/Center |
| Location | 110 Pepper Hill Way, Aiken, South Carolina |
| Authorized Official Name and Position | Denise L Krok (ADMINISTRATOR) |
| Authorized Official Contact | 8036426060 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Aiken Ophthalmology Pc 110 Pepper Hill Way Aiken SC 29801-2818 Ph: (803) 642-6060 | Aiken Ophthalmology Pc 110 Pepper Hill Way Aiken SC 29801-2818 Ph: (803) 642-6060 |
| NPI Number | 1659315802 |
|---|---|
| Provider Enumeration Date | 06/16/2006 |
| Last Update Date | 08/20/2013 |
| Medicare PECOS PAC ID | 6103885587 |
|---|---|
| Medicare Enrollment ID | O20041011000337 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1659315802 | NPI | - | NPPES |
| GP2963 | Medicaid | SC | |
| CH7684 | Other | SC | RAILROAD MEDICARE |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261Q00000X | Clinic/center | 21946 (South Carolina) | Primary |
| Provider Name | Daniel J Smith |
|---|---|
| Provider Type | Practitioner - Ophthalmology |
| Provider Identifiers | NPI Number: 1629027628 PECOS PAC ID: 5698734978 Enrollment ID: I20041004000907 |
| Provider Name | Harpreet Patheja |
|---|---|
| Provider Type | Practitioner - Ophthalmology |
| Provider Identifiers | NPI Number: 1578512612 PECOS PAC ID: 4880600022 Enrollment ID: I20111216000734 |
| Provider Name | Kishan Govind |
|---|---|
| Provider Type | Practitioner - Ophthalmology |
| Provider Identifiers | NPI Number: 1740542893 PECOS PAC ID: 1658683057 Enrollment ID: I20160822002747 |
| Provider Name | Anthony Blaise Greer |
|---|---|
| Provider Type | Practitioner - Ophthalmology |
| Provider Identifiers | NPI Number: 1780905737 PECOS PAC ID: 1355575689 Enrollment ID: I20181230000022 |
| Provider Name | Stephen Myles Potter |
|---|---|
| Provider Type | Practitioner - Ophthalmology |
| Provider Identifiers | NPI Number: 1982043626 PECOS PAC ID: 8426273079 Enrollment ID: I20190806001070 |
| Provider Name | Matthew Gray |
|---|---|
| Provider Type | Practitioner - Ophthalmology |
| Provider Identifiers | NPI Number: 1477789543 PECOS PAC ID: 4688809551 Enrollment ID: I20220523000347 |
| Provider Name | Regina Hamlin |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1366404824 PECOS PAC ID: 1254390800 Enrollment ID: I20220628003077 |
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