Rufus B Antley
Organization Active NPI Optometrist · Batesburg, SC
NPI 1386829026 · NPPES record last updated Aug 27, 2012
Key facts
- NPI
- 1386829026
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Optometrist 152W00000X
- License
- 433 (SC)
- Legal business name
- RUFUS B ANTLEY
- Practice address
- 117 W Church St
Batesburg, SC 29006-2108 - Phone
- (803) 532-9870
- Fax
- (803) 532-1259
- NPI assigned
- Dec 31, 2007
- Organization subpart
- No
Authorized official
- Name
- Mrs. Barbara L Antley
- Title
- Office Manager
- Phone
- (803) 532-9870
National Provider Directory
Locations
117 W Church St
Batesburg, SC 29006
Phone (803) 532-9870
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Optometrist |
152W00000X | 433 | SC | Yes |
Addresses
Primary practice location
117 W Church St
Batesburg, SC 29006-2108
Mailing address
117 W Church St
Batesburg, SC 29006-2108
Phone (803) 532-9870
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| DA9991 | Medicaid | SC |
Other providers in Batesburg, SC
- Jessica Anne Prestia
- Gene Elliott Rhoad
- Brian Rhodes
- Ellen B. Rikard
- Franklyn Robinson
- William Rutherford
- Nina Taylor Sawyer
- Paige Sheppard
- Summer Smith
- South Carolina CVS Pharmacy LLC
All providers in Batesburg, SC · Optometrist in South Carolina
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Aug 27, 2012. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.