Healthcare Provider Details

I. General information

NPI: 1568739498
Provider Name (Legal Business Name): HOBBS EYE CLINIC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 11/21/2011
Last Update Date: 11/21/2011
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

139 CASHUA ST
DARLINGTON SC
29532-3334
US

IV. Provider business mailing address

139 CASHUA ST
DARLINGTON SC
29532-3334
US

V. Phone/Fax

Practice location:
  • Phone: 843-393-6141
  • Fax: 843-393-6424
Mailing address:
  • Phone: 843-393-6141
  • Fax: 843-393-6424

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code152W00000X
TaxonomyOptometrist
License Number282
License Number StateSC

VIII. Authorized Official

Name: NED P HOBBS
Title or Position: OWNER
Credential: O.D.
Phone: 843-393-6141