Pee Dee Eye Associates

Primary specialty

OptometristTaxonomy code 152W00000X

Legal business name

PEE DEE EYE ASSOCIATES

Practice address

603 E Main St
Bennettsville, SC 29512-3217

Phone

(843) 332-7171

Fax

(843) 332-7802

NPI assigned

Aug 25, 2006

Organization subpart

No

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

Authorized official

Name

Mrs. Laura Elizabeth Newman

Title

Office Manager

Phone

(843) 332-7171

Specialties & licenses 1

Addresses

Other identifiers 3

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

{
    "created_epoch": "1156464000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1689781304",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "603 E MAIN ST",
            "city": "BENNETTSVILLE",
            "state": "SC",
            "postal_code": "295123217",
            "telephone_number": "843-332-7171",
            "fax_number": "843-332-7802"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "603 E MAIN ST",
            "city": "BENNETTSVILLE",
            "state": "SC",
            "postal_code": "295123217",
            "telephone_number": "843-332-7171",
            "fax_number": "843-332-7802"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PEE DEE EYE ASSOCIATES",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-08-25",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "NEWMAN",
        "authorized_official_first_name": "LAURA",
        "authorized_official_middle_name": "ELIZABETH",
        "authorized_official_title_or_position": "OFFICE MANAGER",
        "authorized_official_telephone_number": "843-332-7171",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Optometrist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "459665",
            "state": "SC"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "D13340",
            "state": "SC"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "DO4546",
            "state": "SC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Mary Ann Outlaw
• Palmetto Transport Systems LLC
• Palmetto Wellness & Injury Center of Bennettsville LLC
• Pathways for Success LLC
• Teressa Patterson, MASTERS
• Pee Dee Regional Hospital for Geriatric Behavioral Health
• Preferred Care
• Preferred Care
• Preferred Care
• Preferred Care

• Optometrist in Bennettsville, SC
• Providers in Bennettsville, SC by specialty
• Optometrist in South Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.