| |
1009 Bells Hwy, Walterboro, SC 29488 | |
(843) 549-2565 | |
(843) 549-1892 |
Full Name | |
---|---|
Type | Facility |
Speciality | Technician/technologist - Optician |
Location | 1009 Bells Hwy, Walterboro, South Carolina |
Accepts Medicare Assignments | Does not participate in Medicare Program. The facility may not accept medicare assignment. |
Identifier | Type | State | Issuer |
---|---|---|---|
1710130471 | NPI | - | NPPES |
DV1837 | Medicaid | SC |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
152W00000X | Optometrist | (* (Not Available)) | Secondary |
156FX1800X | Technician/technologist - Optician | (* (Not Available)) | Primary |
Mailing Address | Practice Location Address |
---|---|
1009 Bells Hwy, Walterboro, SC 29488 Ph: (843) 549-2565 | 1009 Bells Hwy, Walterboro, SC 29488 Ph: (843) 549-2565 |