Organization
WESTSIDE OPTICAL SHOP,LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. LAWRENCE EDMUND ROEL MD (OWNER/PROVIDER)
(864) 542-1308
Entity
Organization
Contact information
Practice address
1413 JOHN B WHITE SR BLVD, SUITE A, SPARTANBURG, SC 29306-3995
(864) 587-1039
(864) 587-1936
Mailing address
1413 JOHN B WHITE SR BLVD, SUITE A, SPARTANBURG, SC 29306-3995
(864) 587-1039
(864) 587-1936
Taxonomy
Speciality
Code
Description
License number
State
332H00000X
Eyewear Supplier
Primary
120021119
SC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1164472098
—
SC
Enumeration date
02/22/2012
Last updated
05/31/2012
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Contact us