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Contact Information

PALMETTO EYE ASSOCIATES
150 PLAZA CIRCLE
SANTEE, SC29142
 Phone: 803-854-2682
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Optometrist

152W00000X 41 Optometry
Indicates primary specialty

NPI Profile & details for PALMETTO EYE ASSOCIATES

NPI # 1184861411
LBN Legal business name PALMETTO EYE ASSOCIATES
Authorized official JEFF POCKL - (OWNER)
Entity Organization
Organization subpart 1 No
Enumeration date 01/08/2009
Last updated 01/08/2009 - About 17 years ago
Identifiers
SC License # 1053
SC Medicaid DA9713
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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