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Contact Information

FAMILY HEALTH CENTERS OPTOMETRY MOBILE UNIT
3310 MAGNOLIA ST
ORANGEBURG, SC29115-1466
 Phone: 803-531-6900
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Federally Qualified Health Center (FQHC)

261QF0400X B4[14] Federally Qualified Health Center
 

Optometrist

152W00000X 41 Optometry
Indicates primary specialty

NPI Profile & details for FAMILY HEALTH CENTERS OPTOMETRY MOBILE UNIT

NPI Number 1770934739
LBN Legal business name FAMILY HEALTH CENTERS OPTOMETRY MOBILE UNIT
Authorized official STAN WARDLAW - (CEO)
Entity Organization
Organization subpart 1 No
Enumeration date 06/30/2016
Last updated 09/02/2025 - About 9 months ago
Identifiers n/a
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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