Provider Demographics
NPI:1306890231
Name:HARRINGTON VISION CENTER INC II
Entity type:Organization
Organization Name:HARRINGTON VISION CENTER INC II
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:MRS
Authorized Official - First Name:CAROLYN
Authorized Official - Middle Name:MEGGS
Authorized Official - Last Name:HARRINGTON
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:843-669-2020
Mailing Address - Street 1:2151 WEST EVANS ST
Mailing Address - Street 2:STE G
Mailing Address - City:FLORENCE
Mailing Address - State:SC
Mailing Address - Zip Code:29501
Mailing Address - Country:US
Mailing Address - Phone:843-669-2020
Mailing Address - Fax:843-678-9200
Practice Address - Street 1:2151 WEST EVANS ST
Practice Address - Street 2:STE D
Practice Address - City:FLORENCE
Practice Address - State:SC
Practice Address - Zip Code:29501
Practice Address - Country:US
Practice Address - Phone:843-669-2020
Practice Address - Fax:843-678-9200
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-05-22
Last Update Date:2015-08-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
SC313152W00000X
SC85152W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes152W00000XEye and Vision Services ProvidersOptometristGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
SCDA9886Medicaid
SC0616400001Medicare NSC
DA9886Medicare UPIN