Paul W Derrick in Isle Of Palms - Optometrist

Paul W Derrick - NPI 1083674113

Paul W Derrick is a Optometrist in Isle Of Palms, South Carolina. Paul W Derrick practices all healthcare services and medical treatments related to Optometrist. The NPI Number for Paul W Derrick is 1083674113. The last update date is 2017-12-08.

Paul W Derrick's current location address is 22 Beachwood W, Isle Of Palms, South Carolina. You can contact this provider via phone number 8037812212 and fax number 8032332883. The mailing address for Paul W Derrick is 22 Beachwood W, Isle Of Palms, South Carolina. To know further, please read the information below!

Provider Profile Detail

Provider Name Paul W Derrick
Address 22 Beachwood W, Isle Of Palms, South Carolina
Phone Number 8037812212
Fax Number 8032332883
Sole Proprietor N
Credentials OD

NPI Number Detail

NPI Number 1083674113
Provider Enumeration Date 2006-03-24
Last Updated Date 2017-12-08

Provider Mailing Address Detail

Address 22 Beachwood W
City Isle Of Palms
State South Carolina (SC)
Post Code 294512899
Phone Number 8037812212
Fax Number 8032332883

Provider's Primary Taxonomy Detail

Speciality Optometrist
Taxonomy 152W00000X
Licence No 496
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

Provider's Other Legacy Identifiers

Identifier Identifier Type Identifier State Identifier Issuer
D04966 SC --

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FAQs about Paul W Derrick

What is the Paul W Derrick's unique identification number?

The Paul W Derrick has been assigned the NPI (National Provider Identifier) Number 1083674113 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 address where Paul W Derrick is physically located?

The Paul W Derrick is situated at the following address: 22 Beachwood W, Isle Of Palms, SC 294512899.

What is Paul W Derrick's area of specialization, and what is the corresponding taxonomy classification code for this field of practice?

The specialized area of practice for Paul W Derrick is Optometrist, and the taxonomy code that categorizes this field of expertise is 152W00000X.

On what date did the Centers for Medicare & Medicaid Services originally issue the 1083674113 to Paul W Derrick?

The Centers for Medicare & Medicaid Services originally issued the 1083674113 to Paul W Derrick on 2006-03-24.

When was the Paul W Derrick's information last updated?

The Paul W Derrick's information was last updated on 2017-12-08.

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