Organization
OGLES OXYGEN
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. MATTHEW S. MELLOTT (CFO)
(864) 527-5970
Entity
Organization
Contact information
Practice address
12019 N. RADIO STATION ROAD, SUITE D, SENECA, SC 29678
(864) 886-8626
(864) 261-3331
Mailing address
110 W NORTH ST, SUITE 100, GREENVILLE, SC 29601-2779
(864) 527-5970
(864) 527-5971
Taxonomy
Speciality
Code
Description
License number
State
332BX2000X
Oxygen Equipment & Supplies (DME)
Primary
65007759
SC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
DE2699
—
SC
Enumeration date
07/13/2006
Last updated
08/22/2020
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