| Medivision, Pa | |
|
105 N Earle St, Walhalla, SC 29691-2419 | |
| (864) 985-0691 | |
| (864) 638-9979 |
| Full Name | Medivision, Pa |
|---|---|
| Type | Facility |
| Speciality | Optometrist |
| Location | 105 N Earle St, Walhalla, South Carolina |
| Accepts Medicare Assignments | Does not participate in Medicare Program. The facility may not accept medicare assignment. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1518939511 | NPI | - | NPPES |
| 1278480001 | Other | SC | MEDICARE DME |
| DA9882 | Medicaid | SC |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 152W00000X | Optometrist | 0507 (South Carolina) | Primary |
| Mailing Address | Practice Location Address |
|---|---|
| Medivision, Pa 105 N Earle St, Walhalla, SC 29691-2419 Ph: (864) 985-0691 | Medivision, Pa 105 N Earle St, Walhalla, SC 29691-2419 Ph: (864) 985-0691 |
Dr. Dana E Kuhl, OD Optometrist Medicare: Medicare Enrolled Practice Location: 105 N Earle St, Walhalla, SC 29691 Phone: 864-638-9505 Fax: 864-638-9979 |
Jake Pray, OD Optometrist Medicare: Accepting Medicare Assignments Practice Location: 105 N Earle St, Walhalla, SC 29691 Phone: 864-638-9505 Fax: 864-638-9979 |
Medivision Optometrist Medicare: Medicare Enrolled Practice Location: 105 N Earle St, Walhalla, SC 29691 Phone: 724-494-5480 |