| Dr Mckethan R Gaddy, OD | |
|
300 E Monroe St, Dillon, SC 29536-2560 | |
| (843) 774-2020 | |
| (843) 774-3391 |
| Full Name | Dr Mckethan R Gaddy |
|---|---|
| Gender | Male |
| Speciality | Optometrist |
| Location | 300 E Monroe St, Dillon, 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 |
|---|---|---|---|
| 1740298876 | NPI | - | NPPES |
| DO6312 | Medicaid | SC |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 152W00000X | Optometrist | 631 (South Carolina) | Primary |
| Provider Name | Clemson Eye Pa |
|---|---|
| Provider Type | Part B Supplier - Clinic/group Practice |
| Provider Identifiers | NPI Number: 1447383831 PECOS PAC ID: 4183537764 Enrollment ID: O20031110000508 |
| Mailing Address | Practice Location Address |
|---|---|
| Dr Mckethan R Gaddy, OD 300 E Monroe St, Dillon, SC 29536-2560 Ph: (843) 774-2020 | Dr Mckethan R Gaddy, OD 300 E Monroe St, Dillon, SC 29536-2560 Ph: (843) 774-2020 |
Dillion Vision Care, Pc Optometrist Medicare: Not Enrolled in Medicare Practice Location: 213 W Main St, Dillon, SC 29536 Phone: 843-774-8112 | |
Jeffrey R Geer, OD Optometrist Medicare: Accepting Medicare Assignments Practice Location: 300 E Monroe St, Dillon, SC 29536 Phone: 843-664-9393 | |
Dillon Eyecare Associates Ltd Optometrist Medicare: Not Enrolled in Medicare Practice Location: 300 E Monroe St, Dillon, SC 29536 Phone: 843-774-2020 Fax: 843-774-3391 | |
Vision Care P A Optometrist Medicare: Not Enrolled in Medicare Practice Location: 213 W Main St, Dillon, SC 29536 Phone: 843-774-8112 Fax: 843-774-8115 | |
Clemson Eye, Pa Optometrist Medicare: Not Enrolled in Medicare Practice Location: 300 E Monroe St, Dillon, SC 29536 Phone: 864-654-6706 |