PEE DEE OPTICAL (NPI# 1255401352) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1255401352 |
Entity Type | Organization |
Organization Name | PEE DEE OPTICAL |
Practice Address |
367 West Evans Street Florence SC 29501 |
Mailing Address |
367 West Evans Street Florence SC 29501-3429 |
Practice Telephone | 8436654343 |
Mailing Telephone | 8436654343 |
Enumeration Date | 2006-11-08 |
Last Update Date | 2019-01-25 |
Authorized Official Name | DR. MARK R STOKES (PRESIDENT / MANAGING PARTNER) |
Authorized Official Telephone | 8436694156 |
Authorized Official Credential | MD |
Is Organization Subpart | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 335E00000X | Prosthetic/Orthotic Supplier | SC710 | SC | Suppliers |
Address | Telephone Number | Fax Number |
---|---|---|
602 E Cheves St, Florence, SC 295062627 | 8436654343 |
Street Address |
367 WEST EVANS STREET |
City | FLORENCE |
State | SC |
Zip Code | 29501 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1194713636 | Stokes Regional Eye Centers | Optometrist | 367 West Evans Street, Florence, SC 29501-3429 | 2005-10-10 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1700350444 | Angel Edwards Brown | Nurse Practitioner | Mcleod Health, 555 East Cheves Street, Florence, SC 29501 | 2019-01-16 |
1497229124 | Fred L. Evans IIi | Physical Therapy Assistant | 2439 Willwood Dr., Florence, SC 29501 | 2019-01-16 |
1841715596 | Faith Hope Love Homecare | Home Health | 604 S. Coit Street, Florence, SC 29501 | 2017-08-03 |
1083156350 | Karen Artis-bacote | Nurse Practitioner | 3835 Susan Dr, Florence, SC 29501 | 2016-11-17 |
1992251581 | Higher Ground Christian Counseling Service, LLC | Counselor | 1801 D West Evans Street, Florence, SC 29501 | 2016-09-01 |
1952752818 | Jack Carter Shackelford | Chiropractor | 311 West Palmetto Street, Florence, SC 29501 | 2016-06-22 |
1750743506 | Profection Therapy LLC | Clinic/Center | 315d North Beltline Dr., Florence, SC 29501 | 2016-03-22 |
1386002467 | Bergelt Optometric LLC | Optometrist | 2672 David Mcleod Blvd, Florence, SC 29501 | 2016-02-04 |
1437531993 | Sherika Tarshall Stuckey | Nurse Practitioner | 720 Coventry Lane, Apt C, Florence, SC 29501 | 2015-06-22 |
1245610062 | Christopher Tyree | Podiatrist | 709 W Evans St, Florence, SC 29501 | 2015-06-06 |
Find all providers in zip 29501 |
Taxonomy Code | 335E00000X |
Grouping | Suppliers |
Classification | Prosthetic/Orthotic Supplier |
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 function and/or cosmesis or to treat a neuromusculoskeletal disorder or acquired condition. |
Notes: Source: American Board for Certification in Orthotics, Prosthetics, and Pedorthics, Inc. [7/1/2010: modified, 7/1/2013: modified] Additional Resources: American Board for Certification in Orthotics, Prosthetics and Pedorthics, Inc., www.abcop.org and Board of Certification/Accreditation, International, www.bocusa.org. |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1124631056 | Dynesha Thomas | Prosthetic/Orthotic Supplier | 525 3rd Loop Rd Apt H, Florence, SC 29505-4706 | 2020-08-29 |
1285094235 | Mcleod Regional Medical Center of The Pee Dee, Inc. | Prosthetic/Orthotic Supplier | 501 East Cheves Street, Suite B, Florence, SC 29506-2617 | 2016-03-03 |
1396851754 | Synergy Medical Systems, Inc. | Prosthetic/Orthotic Supplier | 1245 Rhododendron Dr, Florence, OR 97439-0045 | 2006-08-21 |
1760404271 | Northern Kentucky Foot Specialists, Psc | Prosthetic/Orthotic Supplier | 1125 Boone Aire Rd, Florence, KY 41042-1201 | 2006-07-24 |
1295764488 | Ability Brace & Limb, Inc | Prosthetic/Orthotic Supplier | 168 Ana Dr, Suite C, Florence, AL 35630-1761 | 2006-07-01 |
1033161773 | Palmetto Prosthetics and Orthotics, Inc. | Prosthetic/Orthotic Supplier | 451 W Cheves St, Florence, SC 29501-4446 | 2006-05-17 |
1003864257 | Advantage O & P | Prosthetic/Orthotic Supplier | 2295 S Irby St, Florence, SC 29505-3424 | 2006-05-04 |
1184954919 | Tracy D. Adams Et Al Ptr | Prosthetic/Orthotic Supplier | 1905 Florence Blvd, Suite F, Florence, AL 35630-2729 | 2009-12-29 |
1437237500 | Northern Kentucky Foot Specialists, Psc | Prosthetic/Orthotic Supplier | 7210 Turfway Rd, Florence, KY 41042-5117 | 2006-11-02 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1366056483 | C Marie Aesthetics | Prosthetic/Orthotic Supplier | 41f Goethe Rd, Bluffton, SC 29910-6001 | 2020-09-04 |
1427667591 | Ashleigha Rogers | Prosthetic/Orthotic Supplier | 324 Manning Ave, Sumter, SC 29150-5763 | 2020-07-24 |
1285252940 | Carolina Orthotics and Prosthetics LLC | Prosthetic/Orthotic Supplier | 708 Lafayette Ave, Ste 4, Camden, SC 29020 | 2020-07-09 |
1427676386 | Carolina Orthotics and Prosthetics LLC | Prosthetic/Orthotic Supplier | 1108 N Jefferies Blvd, Walterboro, SC 29488-2730 | 2020-07-08 |
1881219616 | Glammed Studio | Prosthetic/Orthotic Supplier | 47 Bristlecone Ln, Elgin, SC 29045-9584 | 2020-06-08 |
1497374557 | Image Obsession LLC | Prosthetic/Orthotic Supplier | 1855 E Main St # Sr03, Spartanburg, SC 29307-2309 | 2020-04-09 |
1598394926 | Hair Replacement Systems and Hairstyles Usa Inc. | Prosthetic/Orthotic Supplier | 105 E Butler Rd Ste C, Mauldin, SC 29662-2100 | 2020-04-07 |
1851958284 | Richard A Katenhusen | Prosthetic/Orthotic Supplier | 181 Bluffton Rd Ste B104, Bluffton, SC 29910-6218 | 2019-05-21 |
1699261917 | Carolina Bone & Joint Pa | Prosthetic/Orthotic Supplier | 1 Wellness Blvd Ste 104, Irmo, SC 29063-2872 | 2018-07-10 |
1598259954 | Natural Wigs Store | Prosthetic/Orthotic Supplier | 1722 Broad River Rd Ste C, Columbia, SC 29210-7336 | 2018-06-19 |
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Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.