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

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, MD

Title

President / Managing Partner

Phone

(843) 669-4156

Specialties & licenses 1

Addresses

Locations

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
• 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.