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Contact Information

MONTAGUE EYE CENTER LLC
711 MONTAGUE AVE
GREENWOOD, SC29649
 Phone: 864-229-2301
 Fax: 864-229-1898
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Optometrist

152W00000X 41 Optometry
Indicates primary specialty

NPI Profile & details for MONTAGUE EYE CENTER LLC

NPI Number 1205048964
LBN Legal business name MONTAGUE EYE CENTER LLC
Authorized official JENNIFER LIPPENS - (OWNER)
Entity Organization
Organization subpart 1 No
Enumeration date 05/04/2007
Last updated 12/18/2007 - About 18 years ago
Identifiers
SC License # 1280
SC Medicaid DA9714
SC Other DB0813 RAILROAD MEDICARE GROUP#
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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