National Provider Identifier Database

SENECA DECASTRO, OPTICIAN – NPI #1346973609
Optician


Contact Information

SENECA DECASTRO, OPTICIAN
WALMART VISION CENTER
1180 DUTCH FORK RD
IRMO, SC29063
Phone: 803-740-2635
Fax: 803-781-6324
Website:
Specialty Taxonomy Code
* Optician 156FX1800X

* Indicates primary specialty

NPI Profile & details for SENECA DECASTRO

NPI Number 1346973609
Credentials OPTICIAN
Entity Individual
Enumeration date 07/05/2022
Last updated 07/05/2022 - About 4 years ago
Sole proprietor1 No
Identifiers
  • SC License #: 1286
Hospital affiliation n/a

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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