First Vision Group,llc | |
514 2nd Loop Rd Ste E Florence SC 29505-2848 | |
(843) 679-9900 | |
(843) 679-9988 |
Full Name | First Vision Group,llc |
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Speciality | Clinic/Center |
Location | 514 2nd Loop Rd Ste E, Florence, South Carolina |
Authorized Official Name and Position | David W Hamill (PRESIDENT) |
Authorized Official Contact | 8436799900 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
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First Vision Group,llc 514 2nd Loop Rd Ste E Florence SC 29505-2848 Ph: (843) 679-9900 | First Vision Group,llc 514 2nd Loop Rd Ste E Florence SC 29505-2848 Ph: (843) 679-9900 |
NPI Number | 1467634816 |
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Provider Enumeration Date | 11/28/2007 |
Last Update Date | 11/28/2007 |
Medicare PECOS PAC ID | 7911945951 |
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Medicare Enrollment ID | O20050420001127 |
Identifier | Type | State | Issuer |
---|---|---|---|
1467634816 | NPI | - | NPPES |
DA9695 | Medicaid | SC |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
261Q00000X | Clinic/center | (* (Not Available)) | Primary |
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