Organization
AIKEN OPHTHALMOLOGY PC
Active
Parent organization
AIKEN OPHTHALMOLOGY PC
Other names
AIKEN OPHTHALMOLOGY PC
Organization subpart
Yes
Provider details
NPI number
Legal business name
AIKEN OPHTHALMOLOGY PC
Authorized official
MRS. DENISE L KROK COE, ST (ADMINISTRATOR)
(803) 642-6060
Entity
Organization
Contact information
Practice address
110 PEPPER HILL WAY, AIKEN, SC 29801-2818
(803) 642-6060
(803) 642-0754
Mailing address
110 PEPPER HILL WAY, AIKEN, SC 29801-2818
(803) 642-6060
(803) 642-0754
Taxonomy
Speciality
Code
Description
License number
State
261Q00000X
Clinic/Center
Primary
21946
SC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
CH7684
RAILROAD MEDICARE
SC
05
—
GP2963
—
SC
Enumeration date
06/16/2006
Last updated
08/20/2013
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