Provider Demographics
NPI:1700842861
Name:ZEPLIN, VINCENT F (OD)
Entity Type:Individual
Prefix:DR
First Name:VINCENT
Middle Name:F
Last Name:ZEPLIN
Suffix:
Gender:M
Credentials:OD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:508 BYPASS 72 NW
Mailing Address - Street 2:
Mailing Address - City:GREENWOOD
Mailing Address - State:SC
Mailing Address - Zip Code:29649-1300
Mailing Address - Country:US
Mailing Address - Phone:864-223-1960
Mailing Address - Fax:864-223-1627
Practice Address - Street 1:508 BYPASS 72 NW
Practice Address - Street 2:
Practice Address - City:GREENWOOD
Practice Address - State:SC
Practice Address - Zip Code:29649-1300
Practice Address - Country:US
Practice Address - Phone:864-223-1960
Practice Address - Fax:864-223-1627
Is Sole Proprietor?:No
Enumeration Date:2006-04-25
Last Update Date:2013-01-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
SC1270152W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes152W00000XEye and Vision Services ProvidersOptometrist
Provider Identifiers
StateIdentifier IDID TypeIssuer
SCD12706Medicaid
SCU022515531Medicare PIN
SCU02251Medicare ID - Type Unspecified
SCU022516690Medicare PIN
SCU02251Medicare UPIN
SCD12706Medicaid