Individual
THEODORE W NEWMAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
O.D.
Contact information
Practice address
504 S 4TH ST, HARTSVILLE, SC 29550-5720
(843) 664-9393
Mailing address
PO BOX 896189, CHARLOTTE, NC 28289-6189
(843) 664-9393
(843) 332-7802
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
668
SC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
410000398
RAILROAD MEDICARE
SC
05
—
459665
—
SC
Enumeration date
06/08/2006
Last updated
08/14/2024
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