Individual
BART V DEPASCALE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
OD
Contact information
Practice address
10 WILLIAM POPE DRIVE, BLUFFTON, SC 29909-7459
(843) 842-2020
(843) 705-1512
Mailing address
10 WILLIAM POPE DR, SUNGATE MEDICAL CENTER, BLUFFTON, SC 29909-7549
(843) 842-2020
(843) 705-1512
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
1626
SC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0459022
PTAN
OH
01
—
180026432
RAILROAD MEDICARE
OH
01
—
SC02256830
PTAN
SC
Enumeration date
06/23/2005
Last updated
11/27/2023
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