| Aeg South Carolina Professional Pc | |
|
141 Wildewood Park Dr, Columbia, SC 29223-4300 | |
| (803) 865-5520 | |
| Not Available |
| Full Name | Aeg South Carolina Professional Pc |
|---|---|
| Type | Facility |
| Speciality | Optometrist |
| Location | 141 Wildewood Park Dr, Columbia, 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 |
|---|---|---|---|
| 1720768427 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 152W00000X | Optometrist | (* (Not Available)) | Primary |
| Provider Name | Sean Michael Stevens |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1932267051 PECOS PAC ID: 3375440654 Enrollment ID: I20031215000922 |
| Provider Name | Thomas J Weshefsky |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1710997242 PECOS PAC ID: 9537197280 Enrollment ID: I20070710000650 |
| Provider Name | Tiffany Brawner |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1912498106 PECOS PAC ID: 3678814647 Enrollment ID: I20190402000160 |
| Provider Name | Hannah C.w Lane |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1346860491 PECOS PAC ID: 7214339068 Enrollment ID: I20210715002913 |
| Mailing Address | Practice Location Address |
|---|---|
| Aeg South Carolina Professional Pc 111 E 4th St Ste 440, Alton, IL 62002-6206 Ph: (618) 462-9818 | Aeg South Carolina Professional Pc 141 Wildewood Park Dr, Columbia, SC 29223-4300 Ph: (803) 865-5520 |
Bettina L Gary, OD Optometrist Medicare: Medicare Enrolled Practice Location: 7539 Garners Ferry Rd, Columbia, SC 29209 Phone: 803-779-9313 Fax: 803-779-9551 | |
Vista Vision Optometrist Medicare: Medicare Enrolled Practice Location: 1513 Gregg St, Columbia, SC 29201 Phone: 803-257-4951 | |
Eyeco Optometrist Medicare: Medicare Enrolled Practice Location: 332 Long Pointe Ln, Columbia, SC 29229 Phone: 803-419-8907 | |
Dr. Jordan Lee Ellis Alexander, O.D. Optometrist Medicare: Not Enrolled in Medicare Practice Location: 470 Town Center Pl, B125 Lenscrafters, Columbia, SC 29229 Phone: 803-865-3901 | |
Dr. Alexis Noelle Broussard, OD Optometrist Medicare: Not Enrolled in Medicare Practice Location: 280 Harbison Blvd Ste T, Columbia, SC 29212 Phone: 803-732-9200 | |
Dr. Mohamed Shabir Bharadia, OD Optometrist Medicare: Medicare Enrolled Practice Location: 1326 Bush River Rd, At Walmart Vision Center, Columbia, SC 29210 Phone: 803-750-4949 Fax: 803-750-7172 | |
Dr. Krystal Leigh Berthelette, OD Optometrist Medicare: Not Enrolled in Medicare Practice Location: 5420 Forest Dr, Columbia, SC 29206 Phone: 803-790-4600 |