National Provider Identifier Database

AUGUST M WALLACE ENTERPRISES LLC
Optometrist

Doctors of optometry (ODs) are the primary health care professionals for the eye. Optometrists examine, diagnose, treat, and manage diseases, injuries, and disorders of the visual system, the eye, and associated structures as well as identify related systemic conditions affecting the eye.


Contact Information

AUGUST M WALLACE ENTERPRISES, LLC
805 HIGHWAY 9 BYP W
LANCASTER, SC29720
Phone: 803-286-4836
Fax:
Website:
Specialty Taxonomy Code
* Optometrist 152W00000X

* Indicates primary specialty

NPI Profile & details for AUGUST M WALLACE ENTERPRISES, LLC

NPI Number 1114220738
Legal business name
LBN
AUGUST M WALLACE ENTERPRISES, LLC
Authorized official AUGUST WALLACE - (OWNER)
Entity Organization
Organization subpart No
Enumeration date 12/21/2010
Last updated 12/21/2010 - About 15 years ago
Sole proprietor1 Not specified
Identifiers
  • SC License #: 1483
  • SC Medicaid: D14839

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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