Indigo Vision Center Pa in Georgetown - Optometrist
Indigo Vision Center Pa - NPI 1700071149
Indigo Vision Center Pa is a Optometrist in Georgetown, South Carolina. Indigo Vision Center Pa practices all healthcare services and medical treatments related to Optometrist. The NPI Number for Indigo Vision Center Pa is 1700071149. The last update date is 2013-07-09.
Indigo Vision Center Pa's current location address is 302 Church St, Georgetown, South Carolina. You can contact this provider via phone number 8435462244 and fax number 8435462255. The mailing address for Indigo Vision Center Pa is 302 Church St, Georgetown, South Carolina. To know further, please read the information below!
Provider Profile Detail
| Provider Organization | Indigo Vision Center Pa |
|---|---|
| Address | 302 Church St, Georgetown, South Carolina |
| Phone Number | 8435462244 |
| Fax Number | 8435462255 |
| Sole Proprietor | -- |
| Credentials | -- |
Authorized Official
| Title or Position | OWNER |
|---|---|
| Authorized Official Name | Johnson C Owen |
| Credentials | O.D. |
| Telephone Number | 8435462244 |
NPI Number Detail
| NPI Number | 1700071149 |
|---|---|
| Provider Enumeration Date | 2007-09-10 |
| Last Updated Date | 2013-07-09 |
Provider Mailing Address Detail
| Address | 302 Church St |
|---|---|
| City | Georgetown |
| State | South Carolina (SC) |
| Post Code | 294402406 |
| Phone Number | 8435462244 |
| Fax Number | 8435462255 |
Provider's Primary Taxonomy Detail
| Speciality | Optometrist |
|---|---|
| Taxonomy | 152W00000X |
| Licence No | 1279 |
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Definition: Doctors of optometry (ODs) are the primary health care professionals for the eye. Optometrists examine, diagnose, treat, and manage diseases, injuries, and disorders of the visual system, the eye, and associated structures as well as identify related |
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Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| D12791 | SC | -- | |
| P00151729 | SC | RAILROAD MEDICARE |
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What is the Indigo Vision Center Pa's unique identification number?
The Indigo Vision Center Pa has been assigned the NPI (National Provider Identifier) Number 1700071149 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code serves as a unique identifier for the organization.
Could you provide the complete physical address where Indigo Vision Center Pa is located?
The Indigo Vision Center Pa is situated at the following address: 302 Church St, Georgetown, SC, 294402406.
What is Indigo Vision Center Pa's specialized field of practice, and what is the corresponding taxonomy code that categorizes this area of expertise?
The area of specialization for Indigo Vision Center Pa is Optometrist, and the taxonomy code that classifies this field of practice is 152W00000X.
When did the Indigo Vision Center Pa receive its 1700071149?
The Indigo Vision Center Pa was issued its 1700071149 on 2007-09-10, which is the date when the organization was assigned this unique identifier.
As of what date were the details related to Indigo Vision Center Pa most recently updated or revised?
The information pertaining to Indigo Vision Center Pa, including its address, specialty, and other relevant details, was last updated or revised on 2013-07-09.