Pee Dee Optical

Primary specialty

Prosthetic/Orthotic SupplierTaxonomy code 335E00000X

License

SC710 Issued in SC

Legal business name

PEE DEE OPTICAL

Practice address

367 West Evans Street
Florence, SC 29501

Phone

(843) 665-4343

NPI assigned

Nov 8, 2006

Last updated

Jan 25, 2019By the provider in NPPES

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Dr. Mark R Stokes, MDNPI 1013910595

Title

President / Managing Partner

Phone

(843) 669-4156

Specialties & licenses 1

Addresses

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Mark R Stokes, M.D.

  • Ophthalmology Physician
  • Florence, SC
  • NPI 1013910595
  Authorized official Same address or phone

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1162944000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1548374400000",
    "number": "1255401352",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "367 WEST EVANS STREET",
            "city": "FLORENCE",
            "state": "SC",
            "postal_code": "295013429",
            "telephone_number": "843-665-4343"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "367 WEST EVANS STREET",
            "city": "FLORENCE",
            "state": "SC",
            "postal_code": "29501",
            "telephone_number": "843-665-4343"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PEE DEE OPTICAL",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-11-08",
        "last_updated": "2019-01-25",
        "status": "A",
        "authorized_official_last_name": "STOKES",
        "authorized_official_first_name": "MARK",
        "authorized_official_middle_name": "R",
        "authorized_official_title_or_position": "PRESIDENT / MANAGING PARTNER",
        "authorized_official_telephone_number": "843-669-4156",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "335E00000X",
            "taxonomy_group": "",
            "desc": "Prosthetic/Orthotic Supplier",
            "state": "SC",
            "license": "SC710",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Pee Dee Mental Health Center
• Pee Dee Mental Health Center
• Pee Dee Metal Health Center
• Pee Dee Nephrology LLP
• Pee Dee Neurosurgical Service PA (Kenneth S Kammer MD)
• Pee Dee Orthopedic Assoc
• Pee Dee Orthopedic Assoc
• Pee Dee Pathology Associates Inc.
• Pee Dee Pathology Associates Inc.
• Pee Dee Pediatric Dentistry

• Prosthetic/Orthotic Supplier in Florence, SC
• Providers in Florence, SC by specialty
• Prosthetic/Orthotic Supplier in South Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 25, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.