Organization
PEE DEE EYE ASSOCIATES, PA
Active
Parent organization
PEE DEE EYE ASSOCIATES, PA
Organization subpart
Yes
Provider details
NPI number
Legal business name
PEE DEE EYE ASSOCIATES, PA
Authorized official
MRS. ANN RUSH (OFFICE MANAGER)
(843) 332-7171
Entity
Organization
Contact information
Practice address
528 BROAD ST, STE 101, SUMTER, SC 29150-3368
(803) 775-1772
(803) 775-4729
Mailing address
PO BOX 1956, HARTSVILLE, SC 29551-1956
(803) 775-1772
(803) 775-4729
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
1422
SC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
459665
—
SC
05
—
D04546
—
SC
05
—
D13340
—
SC
Enumeration date
09/18/2014
Last updated
09/18/2014
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