National Provider Identifier Database

FAMILY HEALTH CENTERS OPTOMETRY MOBILE UNIT
Federally Qualified Health Center (FQHC)

A Federally Qualified Health Center (FQHC) is a community-based organization that provides comprehensive primary care and preventive care, including health, oral, and mental health/substance abuse services to persons of all ages, regardless of their ability to pay or health insurance status.


Contact Information

FAMILY HEALTH CENTERS OPTOMETRY MOBILE UNIT
3310 MAGNOLIA ST
ORANGEBURG, SC29115-1466
Phone: 803-531-6900
Fax:
Website:
Specialty Taxonomy Code
* Federally Qualified Health Center (FQHC) 261QF0400X
Optometrist 152W00000X

* Indicates primary specialty

NPI Profile & details for FAMILY HEALTH CENTERS OPTOMETRY MOBILE UNIT

NPI Number 1770934739
Legal business name
LBN
FAMILY HEALTH CENTERS OPTOMETRY MOBILE UNIT
Authorized official STAN WARDLAW - (CEO)
Entity Organization
Organization subpart No
Enumeration date 06/30/2016
Last updated 09/02/2025 - About 9 months ago
Sole proprietor1 Not specified
Identifiers 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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