Provider Demographics
NPI:1235347659
Name:SEE Y EYECARE INC.
Entity Type:Organization
Organization Name:SEE Y EYECARE INC.
Other - Org Name:HODGES OPTICAL
Other - Org Type:Doing Business As
Authorized Official - Title/Position:OWNER OPERATOR
Authorized Official - Prefix:
Authorized Official - First Name:SUSAN
Authorized Official - Middle Name:ANDERSON
Authorized Official - Last Name:MULLINS
Authorized Official - Suffix:
Authorized Official - Credentials:LDO
Authorized Official - Phone:843-797-2090
Mailing Address - Street 1:7685 NORTHWOODS BLVD
Mailing Address - Street 2:SUITE 8F
Mailing Address - City:NORTH CHARLESTON
Mailing Address - State:SC
Mailing Address - Zip Code:29406-4002
Mailing Address - Country:US
Mailing Address - Phone:843-797-2090
Mailing Address - Fax:843-797-3822
Practice Address - Street 1:7685 NORTHWOODS BLVD
Practice Address - Street 2:SUITE 8F
Practice Address - City:NORTH CHARLESTON
Practice Address - State:SC
Practice Address - Zip Code:29406-4002
Practice Address - Country:US
Practice Address - Phone:843-797-2090
Practice Address - Fax:843-797-3822
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-05-18
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes156FX1800XEye and Vision Services ProvidersTechnician/TechnologistOpticianGroup - Multi-Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
SCVA9967Medicaid
SCVA9967Medicaid