Organization
PEE DEE EYE ASSOCIATES PA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
THEODORE W NEWMAN O.D. (PRESIDENT)
(843) 332-7171
Entity
Organization
Contact information
Practice address
504 S 4TH ST, HARTSVILLE, SC 29550-5720
(843) 332-7171
(843) 332-7802
Mailing address
PO BOX 1956, HARTSVILLE, SC 29551-1956
(843) 332-7171
(843) 332-7802
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
1422
SC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
459665
—
SC
05
—
D13340
—
SC
05
—
D14223
—
SC
05
—
DA9759
—
SC
Enumeration date
08/24/2006
Last updated
08/26/2014
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