Organization
PALMETTO EYE SPECIALISTS, P.A.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
KENNETH DANIEL FARR M.D. (MEDICAL DIRECTOR)
(843) 842-2020
Entity
Organization
Contact information
Practice address
220 PEMBROKE DR, SUITE 100, HILTON HEAD ISLAND, SC 29926-6200
(843) 785-2525
(843) 785-5394
Mailing address
PO BOX 23018, HILTON HEAD ISLAND, SC 29925-3018
(843) 785-2525
(843) 785-5394
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
—
—
207N00000X
Dermatology Physician
—
—
207Q00000X
Family Medicine Physician
—
—
207W00000X
Ophthalmology Physician
Primary
—
—
237700000X
Hearing Instrument Specialist
HADS-872
GA
237700000X
Hearing Instrument Specialist
HAS-507
SC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
GP2666
—
SC
Enumeration date
05/08/2006
Last updated
02/12/2014
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