Provider Demographics
NPI:1043574536
Name:S & H EYE CARE, LLC
Entity Type:Organization
Organization Name:S & H EYE CARE, LLC
Other - Org Name:EYE CARE ONE
Other - Org Type:Doing Business As
Authorized Official - Title/Position:COO
Authorized Official - Prefix:MRS
Authorized Official - First Name:JENNIFER
Authorized Official - Middle Name:
Authorized Official - Last Name:BRIDGES
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:706-651-1291
Mailing Address - Street 1:11 ROBERT SMALLS PKWY
Mailing Address - Street 2:SUITE H
Mailing Address - City:BEAUFORT
Mailing Address - State:SC
Mailing Address - Zip Code:29906-4202
Mailing Address - Country:US
Mailing Address - Phone:843-524-8302
Mailing Address - Fax:
Practice Address - Street 1:11 ROBERT SMALLS PKWY
Practice Address - Street 2:SUITE H
Practice Address - City:BEAUFORT
Practice Address - State:SC
Practice Address - Zip Code:29906-4202
Practice Address - Country:US
Practice Address - Phone:843-524-8302
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2012-06-28
Last Update Date:2012-06-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes152W00000XEye and Vision Services ProvidersOptometristGroup - Single Specialty