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Contact Information

EAST COAST OPTOMETRIC, INC.
1420 KNOX ABBOTT DR.
H. RUBIN CENTER
WEST COLUMBIA, SC29169
 Phone: 803-739-8254
 Fax: 803-794-0948
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Optometrist

152W00000X 41 Optometry
Indicates primary specialty

NPI Profile & details for EAST COAST OPTOMETRIC, INC.

NPI # 1285711721
LBN Legal business name EAST COAST OPTOMETRIC, INC.
Authorized official KENNETH WEBBER - (COO)
Entity Organization
Organization subpart 1 No
Enumeration date 11/01/2006
Last updated 11/12/2010 - About 16 years ago
Identifiers
SC License # 770
SC Medicaid DA9957
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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