Pee Dee Optical in Florence - Prosthetic/orthotic Supplier
Pee Dee Optical - NPI 1255401352
Pee Dee Optical is a Prosthetic/orthotic Supplier in Florence, South Carolina. Pee Dee Optical practices all healthcare services and medical treatments related to Prosthetic/orthotic Supplier. The NPI Number for Pee Dee Optical is 1255401352. The last update date is 2019-01-25.
Pee Dee Optical's current location address is 367 West Evans Street, Florence, South Carolina. You can contact this provider via phone number 8436654343. The mailing address for Pee Dee Optical is 367 West Evans Street, Florence, South Carolina. To know further, please read the information below!
Provider Profile Detail
| Provider Organization | Pee Dee Optical |
|---|---|
| Address | 367 West Evans Street, Florence, South Carolina |
| Phone Number | 8436654343 |
| Fax Number | |
| Sole Proprietor | -- |
| Credentials | -- |
Authorized Official
| Title or Position | PRESIDENT |
|---|---|
| Authorized Official Name | Stokes R Mark |
| Credentials | MD |
| Telephone Number | 8436694156 |
NPI Number Detail
| NPI Number | 1255401352 |
|---|---|
| Provider Enumeration Date | 2006-11-08 |
| Last Updated Date | 2019-01-25 |
Provider Mailing Address Detail
| Address | 367 West Evans Street |
|---|---|
| City | Florence |
| State | South Carolina (SC) |
| Post Code | 295013429 |
| Phone Number | 8436654343 |
| Fax Number |
Provider's Primary Taxonomy Detail
| Speciality | Prosthetic/orthotic Supplier |
|---|---|
| Taxonomy | 335E00000X |
| Licence No | SC710 |
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Definition: An organization that provides prosthetic and orthotic care which may include, but is not limited to, patient evaluation, prosthesis or orthosis design, fabrication, fitting and modification to treat limb loss for purposes of restoring physiological f |
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What is the unique identification code assigned to Pee Dee Optical by the Centers for Medicare & Medicaid Services?
The Pee Dee Optical has been issued the NPI (National Provider Identifier) 1255401352. This 10-digit code serves as a unique identifier for healthcare providers, assigned by the Centers for Medicare & Medicaid Services (CMS).
Could you share the physical location details of Pee Dee Optical?
The Pee Dee Optical is situated at 367 West Evans Street, in the city of Florence, state of SC, with the zip code 295013429.
What is the area of specialization for Pee Dee Optical, and what is the corresponding taxonomy classification code for this field?
The specialized field of practice for Pee Dee Optical is Prosthetic/orthotic Supplier, and the corresponding taxonomy code that categorizes this area of expertise is 335E00000X.
On what date did the Pee Dee Optical receive the assignment of its 1255401352 from the Centers for Medicare & Medicaid Services?
The Pee Dee Optical was issued its 1255401352 by the Centers for Medicare & Medicaid Services on 2006-11-08.
As of what date were the details pertaining to Pee Dee Optical last refreshed?
The information related to the Pee Dee Optical, including its address, specialty, and other relevant details, was last updated on 2019-01-25.