Individual
DR. VICKIE L JEWELL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
OD
Contact information
Practice address
689 LANCASTER BYP E, LANCASTER, SC 29720-4727
(803) 283-2020
(803) 286-0734
Mailing address
689 LANCASTER BYP E, LANCASTER, SC 29720-4727
(803) 283-2020
(803) 286-0734
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
1043
SC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
6530
RAILROAD MEDICARE
SC
05
—
D10432
—
SC
Enumeration date
04/14/2006
Last updated
10/16/2013
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