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PRISMA HEALTH UNIVERSITY MEDICAL GROUP NPI 1619411899


NPI Information

NPI: 1619411899
Provider Name: PRISMA HEALTH UNIVERSITY MEDICAL GROUP

Doing Business As: PRISMA HEALTH EYE INSTITUTE/OPTICAL SHOP-EASLEY

Classification: Durable Medical Equipment & Medical Supplies - 332B00000X
Entity Type: Organization
Address:
109 FLEETWOOD DR
SUITE B
EASLEY, SC
ZIP 29640
Phone: (864) 522-3970
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PRISMA HEALTH UNIVERSITY MEDICAL GROUP is a durable medical equipment medical supplies in Easley, SC. The provider is a supplier of medical equipment such as respirators, wheelchairs, home dialysis systems, or monitoring systems, that are prescribed by a physician for a patient's use in the home and that are usable for an extended period of time. PRISMA HEALTH UNIVERSITY MEDICAL GROUP NPI is 1619411899. The provider is registered as an organization entity type.
The provider Is Doing Business As Prisma Health Eye Institute/optical Shop-easley.

The provider's business location address is:

109 FLEETWOOD DR
SUITE B
EASLEY, SC
ZIP 29640-019
Phone: (864) 522-3970
Fax: (864) 522-3975

The provider's authorized official is Kristi Ann Lawrence .
The authorized official title is Director Provider Enrollment and has the following contact phone number (864) 797-6118.

The enumeration date for this NPI number is 12/7/2016 and was last updated on 5/15/2020.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1332B00000XDurable Medical Equipment & Medical SuppliesYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 5/5/2024

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