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Contact Information

RIDGELAND EYE ASSOCIATES LLC
10668 SOUTH JACOB SMART BOULEVARD
RIDGELAND, SC29936
 Phone: 843-757-9661
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Ophthalmology

207W00000X 18 Physician/Ophthalmology
 

Plastic Surgery

208200000X 02 Physician/General Surgery
Indicates primary specialty

NPI Profile & details for RIDGELAND EYE ASSOCIATES LLC

NPI Number 1518143221
LBN Legal business name RIDGELAND EYE ASSOCIATES LLC
Authorized official MARK GOULAS - (PARTNER)
Entity Organization
Organization subpart 1 No
Enumeration date 01/11/2008
Last updated 01/11/2008 - About 18 years ago
Identifiers
SC License # 1335
SC License # 1344
SC License # 22573
SC License # 26698
1 Some organization health care providers are made up of components that furnish different types of health care or have separate physical locations where health care is furnished. These components and physical locations are not themselves legal entities, but are part of the organization health care provider (which is a legal entity). A covered organization provider may decide that its subparts (if it has any) should have their own NPI numbers. If a subpart conducts any HIPAA standard transactions on its own (e.g., separately from its parent), it must obtain its own NPI number.

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