| Eye Associates Of Little River, Llc | |
|
4000 Highway 9 E, Suite 260, Little River, SC 29566-7833 | |
| (843) 390-0058 | |
| (843) 390-0999 |
| Full Name | Eye Associates Of Little River, Llc |
|---|---|
| Type | Facility |
| Speciality | Optometrist |
| Location | 4000 Highway 9 E, Little River, 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 |
|---|---|---|---|
| 1568404044 | NPI | - | NPPES |
| DA9678 | Medicaid | SC | |
| DN6087 | Other | SC | RAILROAD MEDICARE |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 152W00000X | Optometrist | 1409 (South Carolina) | Secondary |
| 152W00000X | Optometrist | 1408 (South Carolina) | Primary |
| Provider Name | Jason Lee Diamond |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1780683698 PECOS PAC ID: 0345279212 Enrollment ID: I20060804000054 |
| Provider Name | Sandra L Kozel-diamond |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1316933989 PECOS PAC ID: 7315974888 Enrollment ID: I20060804000062 |
| Mailing Address | Practice Location Address |
|---|---|
| Eye Associates Of Little River, Llc 4000 Highway 9 E, Suite 260, Little River, SC 29566-7833 Ph: (843) 390-0058 | Eye Associates Of Little River, Llc 4000 Highway 9 E, Suite 260, Little River, SC 29566-7833 Ph: (843) 390-0058 |
Dr. Sandra L Kozel-diamond, OD Optometrist Medicare: Accepting Medicare Assignments Practice Location: 4000 Highway 9 E, Suite 260, Little River, SC 29566 Phone: 843-390-0058 Fax: 843-390-0999 | |
Dr. Jason L. Diamond, O.D. Optometrist Medicare: Accepting Medicare Assignments Practice Location: 3700 Sawtell Rd, Suite B, Little River, SC 29566 Phone: 843-390-0058 Fax: 843-390-9990 | |
Marlon G Burt, OD Optometrist Medicare: Accepting Medicare Assignments Practice Location: 90 Cedar Light Ln, Little River, SC 29566 Phone: 843-280-8779 Fax: 843-280-6669 |