| Crs Eyecare Services, Inc. | |
|
112 Rutledge Ave Ste A Charleston SC 29401-1333 | |
| (843) 577-2674 | |
| Not Available |
| Full Name | Crs Eyecare Services, Inc. |
|---|---|
| Speciality | Clinic/Center |
| Location | 112 Rutledge Ave Ste A, Charleston, South Carolina |
| Authorized Official Name and Position | Cody Smouse (OWNER) |
| Authorized Official Contact | 7246895073 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Crs Eyecare Services, Inc. 112 Rutledge Ave Ste A Charleston SC 29401-1333 Ph: () - | Crs Eyecare Services, Inc. 112 Rutledge Ave Ste A Charleston SC 29401-1333 Ph: (843) 577-2674 |
| NPI Number | 1447758032 |
|---|---|
| Provider Enumeration Date | 01/29/2018 |
| Last Update Date | 01/29/2018 |
| Medicare PECOS PAC ID | 3971865114 |
|---|---|
| Medicare Enrollment ID | O20180327002846 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1447758032 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QP2300X | Clinic/center - Primary Care | 1704 (South Carolina) | Primary |
| Provider Name | Cody Smouse |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1770845489 PECOS PAC ID: 4082847736 Enrollment ID: I20140502000856 |
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