Anderson Optometric Associates
Organization Active NPI Optometrist · Williamston, SC
NPI 1487635702 · NPPES record last updated Apr 20, 2008
Key facts
- NPI
- 1487635702
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Optometrist 152W00000X
- Legal business name
- ANDERSON OPTOMETRIC ASSOCIATES
- Practice address
- 301 E Main St
Williamston, SC 29697-1912 - Phone
- (864) 847-4440
- Fax
- (864) 847-6060
- NPI assigned
- Nov 14, 2005
- Organization subpart
- No
Authorized official
- Name
- Dr. Marion K Williams, OPTOMETRIST
- Title
- President
- Phone
- (864) 847-4440
Other NPIs on the same Medicare enrollment 2
Practitioners 3
-
William J Milford, OPTOMETRIST
-
David G Porter, OPTOMETRIST
-
Marion K Williams, OPTOMETRIST
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in SC
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20040914000734 | SC | Part B Supplier - Clinic/Group Practice | 8123095601 |
Receives reassigned benefits from 3 practitioners 2 other NPIs on this enrollment Practice locations: Williamston, SC; Greenville, SC; Anderson, SC |
National Provider Directory
Locations
301 E Main St
Williamston, SC 29697
Phone (864) 847-4440
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Optometrist |
152W00000X | Yes |
Addresses
Primary practice location
301 E Main St
Williamston, SC 29697-1912
Mailing address
PO Box 547
Williamston, SC 29697-0547
Phone (864) 847-4440
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| DA9941 | Medicaid | SC |
Other names
- EYE CARE CENTER
Other providers in Williamston, SC
- Ambucare Ambulance LLC.
- Anderson County School District One
- Anderson School District One
- Anmed Health
- Anmed Health - Williamston Pharmacy
- Anmed Health Services, Inc
- Kate Morley Beckish
All providers in Williamston, 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 Apr 20, 2008. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.