Trevor L Klein, Od, Pc | |
404 Mccravy Dr Ste B Spartanburg SC 29303-3178 | |
(864) 585-2249 | |
(864) 585-3020 |
Full Name | Trevor L Klein, Od, Pc |
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Speciality | Clinic/Center |
Location | 404 Mccravy Dr Ste B, Spartanburg, South Carolina |
Authorized Official Name and Position | Trevor Lee Klein (PRESIDENT) |
Authorized Official Contact | 9802296344 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
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Trevor L Klein, Od, Pc 404 Mccravy Dr Ste B Spartanburg SC 29303-3178 Ph: (864) 585-2249 | Trevor L Klein, Od, Pc 404 Mccravy Dr Ste B Spartanburg SC 29303-3178 Ph: (864) 585-2249 |
NPI Number | 1134370539 |
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Provider Enumeration Date | 10/03/2008 |
Last Update Date | 10/03/2008 |
Medicare PECOS PAC ID | 2062570948 |
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Medicare Enrollment ID | O20081021000777 |
Identifier | Type | State | Issuer |
---|---|---|---|
1134370539 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
261Q00000X | Clinic/center | 1505 (South Carolina) | Primary |
Provider Name | Trevor L Klein |
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Provider Type | Practitioner - Optometry |
Provider Identifiers | NPI Number: 1528148830 PECOS PAC ID: 1355233727 Enrollment ID: I20081021000760 |
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