Organization
OGLES OXYGEN, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. MATTHEW S. MELLOTT (CFO)
(864) 527-5970
Entity
Organization
Contact information
Practice address
1911 E GREENVILLE ST, ANDERSON, SC 29621-2036
(864) 261-6888
(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
65008674
SC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
DE2708
—
SC
Enumeration date
07/13/2006
Last updated
08/22/2020
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