Provider Demographics
NPI:1891780508
Name:SHEALY, FRANCIS WESTON III (OD)
Entity Type:Individual
Prefix:DR
First Name:FRANCIS
Middle Name:WESTON
Last Name:SHEALY
Suffix:III
Gender:M
Credentials:OD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
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Other - Credentials:
Mailing Address - Street 1:3010 COOPERS BASIN CIR
Mailing Address - Street 2:
Mailing Address - City:CHARLESTON
Mailing Address - State:SC
Mailing Address - Zip Code:29414-8030
Mailing Address - Country:US
Mailing Address - Phone:813-431-6889
Mailing Address - Fax:
Practice Address - Street 1:1251 SAVANNAH HWY
Practice Address - Street 2:
Practice Address - City:CHARLESTON
Practice Address - State:SC
Practice Address - Zip Code:29407-7826
Practice Address - Country:US
Practice Address - Phone:843-763-2270
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2005-09-19
Last Update Date:2018-11-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
SC1365152W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes152W00000XEye and Vision Services ProvidersOptometrist
Provider Identifiers
StateIdentifier IDID TypeIssuer
SCAA44710381OtherMEDICARE PTAN