Provider Demographics
NPI:1285817239
Name:MELISSA L BINDER LLC
Entity Type:Organization
Organization Name:MELISSA L BINDER LLC
Other - Org Name:DR. BINDER AND ASSOCIATES
Other - Org Type:Doing Business As
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:DR
Authorized Official - First Name:MELISSA
Authorized Official - Middle Name:
Authorized Official - Last Name:BINDER
Authorized Official - Suffix:
Authorized Official - Credentials:OD
Authorized Official - Phone:803-775-8950
Mailing Address - Street 1:1057 BROAD ST
Mailing Address - Street 2:STE 48
Mailing Address - City:SUMTER
Mailing Address - State:SC
Mailing Address - Zip Code:29150-2565
Mailing Address - Country:US
Mailing Address - Phone:803-775-8950
Mailing Address - Fax:803-775-8955
Practice Address - Street 1:1057 BROAD ST
Practice Address - Street 2:STE 48
Practice Address - City:SUMTER
Practice Address - State:SC
Practice Address - Zip Code:29150-2567
Practice Address - Country:US
Practice Address - Phone:803-775-8950
Practice Address - Fax:803-775-8955
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-12-13
Last Update Date:2012-04-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
SC1318152W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes152W00000XEye and Vision Services ProvidersOptometristGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
SCD13180Medicaid
SCP00238207OtherRAILROAD MEDICARE
SCV01150Medicare UPIN
SCAA05958058Medicare PIN
SCP00238207OtherRAILROAD MEDICARE