| Dr Jason Franklin Baldwin, OD | |
|
137 Gateway Dr, Ladson, SC 29456-3552 | |
| (843) 797-3676 | |
| (843) 797-3677 |
| Full Name | Dr Jason Franklin Baldwin |
|---|---|
| Gender | Male |
| Speciality | Optometrist |
| Location | 137 Gateway Dr, Ladson, South Carolina |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1912928516 | NPI | - | NPPES |
| 201066910 | Medicaid | IN |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 152W00000X | Optometrist | 4901004373 (Michigan) | Secondary |
| 152W00000X | Optometrist | 1510 (South Carolina) | Primary |
| 152W00000X | Optometrist | 18003718 (Indiana) | Secondary |
| Provider Name | Ferris State University |
|---|---|
| Provider Type | Part B Supplier - Clinic/group Practice |
| Provider Identifiers | NPI Number: 1871510859 PECOS PAC ID: 3971572124 Enrollment ID: O20040925000091 |
| Mailing Address | Practice Location Address |
|---|---|
| Dr Jason Franklin Baldwin, OD 4850 Encore Blvd, Mt Pleasant, MI 48858-6013 Ph: (989) 772-1704 | Dr Jason Franklin Baldwin, OD 137 Gateway Dr, Ladson, SC 29456-3552 Ph: (843) 797-3676 |
Tanner Dean Semones, OD Optometrist Medicare: Not Enrolled in Medicare Practice Location: 9565 Highway 78 Bldg 200, Ladson, SC 29456 Phone: 843-553-2477 Fax: 843-553-2478 | |
Dr. David W. Bang, P.c. Optometrist Medicare: Medicare Enrolled Practice Location: 9565 Highway 78, Building 900, Ladson, SC 29456 Phone: 843-764-3030 Fax: 843-851-7448 | |
Dr. David W. Bang, P.c. Optometrist Medicare: Not Enrolled in Medicare Practice Location: 9565 Highway 78, Bldg 900, Ladson, SC 29456 Phone: 843-824-3937 Fax: 843-725-1434 |