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NPI Code Detail

MEDICARE: SINGLETON EYE INC

MEDICARE: SINGLETON EYE INC
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1305R00000XPreferred Provider Organization603SC

Medicare Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
26073550001OTHERSCMEDICARE DMERC

Other Identifiers

General Provider Information

NPI Number : 1700063716
Entity Type Code : Organization
Provider Name (Legal Business Name) : SINGLETON EYE INC
Provider Business Mailing Address
First Line : 1300 HIGHWAY 544 UNIT B
Second Line :
City : CONWAY
State : SC
Zip : 29526-6592
Country : US
Telephone Number : 843-449-2020
Fax Number : 843-839-5123
Provider Business Practice Location Address
First Line : 6151 R C SARVIS RD
Second Line :
City : MYRTLE BEACH
State : SC
Zip : 29588-8107
Country : US
Telephone Number : 843-267-1061
Fax Number : 843-839-5123
Authorized Official
Title or Position : PRESIDENT
Name : SAMUEL J SINGLETON
Credential : O.D.
Telephone Number : 843-449-2020
Provider Enumeration Date : 01/22/2008
Last Update Date : 01/21/2017

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Directions to “SINGLETON EYE INC ” Practice Location

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