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Contact Information

EYEWEAR INC
1631 BROAD RIVER ROAD
BOOZER SHOPPING CENTER #B
COLUMBIA, SC29210
 Phone: 803-772-9229
 Fax: 803-731-0616
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Optometrist

152W00000X 41 Optometry
 

Optician

156FX1800X 96[5] Optician
Indicates primary specialty

NPI Profile & details for EYEWEAR INC

NPI Number 1518902659
LBN Legal business name EYEWEAR INC
Authorized official EMILY MIKELL - (ITS VICE PRESIDENT)
Entity Organization
Organization subpart 1 No
Enumeration date 06/20/2006
Last updated 03/04/2008 - About 18 years ago
Identifiers
SC Medicaid DA9856
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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