| Dr Angelo Joseph Devivo, OD | |
|
1774 Paxville Hwy, Manning, SC 29102-5071 | |
| (803) 435-2494 | |
| (803) 435-8765 |
| Full Name | Dr Angelo Joseph Devivo |
|---|---|
| Gender | Male |
| Speciality | Optometry |
| Experience | 35 Years |
| Location | 1774 Paxville Hwy, Manning, South Carolina |
| Accepts Medicare Assignments | Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1326040536 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 152W00000X | Optometrist | 4531 T1261 (Ohio) | Secondary |
| 152W00000X | Optometrist | 2117 (South Carolina) | Primary |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Myeyedr Optometry Of South Carolina, Llc | 3173741618 | 24 |
| Provider Name | Myeyedr Optometry of South Carolina, LLC |
|---|---|
| Provider Type | Part B Supplier - Clinic/group Practice |
| Provider Identifiers | NPI Number: 1205248481 PECOS PAC ID: 3173741618 Enrollment ID: O20140826001090 |
| Mailing Address | Practice Location Address |
|---|---|
| Dr Angelo Joseph Devivo, OD 8614 Westwood Center Dr Fl 9, Vienna, VA 22182-2442 Ph: (703) 847-8899 | Dr Angelo Joseph Devivo, OD 1774 Paxville Hwy, Manning, SC 29102-5071 Ph: (803) 435-2494 |
Ashlee Finnell, OD Optometrist Medicare: Accepting Medicare Assignments Practice Location: 1774 Paxville Hwy, Manning, SC 29102 Phone: 803-435-8765 |
Clarendon Eye Center P A Optometrist Medicare: Not Enrolled in Medicare Practice Location: 1774 Paxville Hwy, Manning, SC 29102 Phone: 803-435-2494 Fax: 803-435-8765 |
Myeyedr. Optometrist Medicare: Medicare Enrolled Practice Location: 1774 Paxville Hwy, Manning, SC 29102 Phone: 803-435-2494 |
Dr. Ryan Tyler Fullen, OD Optometrist Medicare: Medicare Enrolled Practice Location: 1774 Paxville Hwy, Manning, SC 29102 Phone: 803-435-2494 Fax: 803-435-8765 |
Michael David Spuller, OD Optometrist Medicare: Accepting Medicare Assignments Practice Location: 1774 Paxville Hwy, Manning, SC 29102 Phone: 803-435-2494 Fax: 803-435-8765 |
Manning Eye Center Optometrist Medicare: Not Enrolled in Medicare Practice Location: 2010 Paxville Hwy, Manning, SC 29102 Phone: 803-435-6686 |
Dr. Kelli Marie Mccartney, O.D Optometrist Medicare: Medicare Enrolled Practice Location: 2010 Paxville Hwy, Manning, SC 29102 Phone: 803-408-5740 |