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Contact Information

THOMAS C EDEWAARD, OD
705 OLD TROLLEY RD
SUITE A
SUMMERVILLE, SC29485-5212
 Phone: 843-821-9300
 Fax: 843-821-9300
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Corneal and Contact Management

152WC0802X 41 Optometry
 

Optometrist

152W00000X 41 Optometry
Indicates primary specialty

NPI Profile & details for THOMAS C EDEWAARD · (Male)

NPI Number 1417987512
Status Active
Credentials OD (Doctor of Optometry)
Entity Individual
Enumeration date 07/04/2006
Last updated 03/25/2009 - About 17 years ago
Sole proprietor 1 Yes
Identifiers
  • SC License # SC972
  • SC Medicaid D09729
  • SC Other 410023170 RAILROAD MEDICARE
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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