Provider Demographics
NPI:1851917025
Name:PATTERSON EYE ASSOCIATES
Entity Type:Organization
Organization Name:PATTERSON EYE ASSOCIATES
Other - Org Name:PATTERSON EYE ASSOCIATES
Other - Org Type:Former Legal Business Name
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:PATRICK
Authorized Official - Middle Name:
Authorized Official - Last Name:PATTERSON
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:843-665-1100
Mailing Address - Street 1:1800 W PALMETTO ST
Mailing Address - Street 2:
Mailing Address - City:FLORENCE
Mailing Address - State:SC
Mailing Address - Zip Code:29501-4138
Mailing Address - Country:US
Mailing Address - Phone:843-665-1100
Mailing Address - Fax:843-942-1499
Practice Address - Street 1:1800 W PALMETTO ST
Practice Address - Street 2:
Practice Address - City:FLORENCE
Practice Address - State:SC
Practice Address - Zip Code:29501-4138
Practice Address - Country:US
Practice Address - Phone:843-665-1100
Practice Address - Fax:943-942-1499
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2020-06-23
Last Update Date:2020-08-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QM2500XAmbulatory Health Care FacilitiesClinic/CenterMedical Specialty