TRIDENT LOW VISION SPECIALTIES, LLC – NPI #1619163391
Clinic/Center

TRIDENT LOW VISION SPECIALTIES, LLC is an AHC clinic located in LADSON, SC. NPPES has assigned the NPI number 1619163391 to TRIDENT LOW VISION SPECIALTIES, LLC on September 17, 2007. It is a Type-2 NPI, indicating this NPI number is associated with an organization. The primary taxonomy selected by this provider is 261QH0100X from the Health Care Provider Taxonomy code set, which is classified as Clinic/Center, specializing in Health Service

Use the NPI data found here to bill health insurance companies, identify providers enrolled in Medicare and Medicaid services or other HIPAA compliant transactions. See the complete NPI profile for TRIDENT LOW VISION SPECIALTIES, LLC below.

NPI Profile for
TRIDENT LOW VISION SPECIALTIES, LLC

NPI Number
1619163391
Enumeration Date

(more than 18 years ago)
Entity Type
Type-2  Organization
Organization health care providers may have a single employee or thousands of employees. An example is an incorporated individual who is an organization's only employee.
Legal Name
TRIDENT LOW VISION SPECIALTIES, LLC
Primary location
9565 HIGHWAY 78
BUILDING 300
LADSON, SC 29456
Phone: (843) 412-2339 Fax:
Mailing address
1994 PINE RIDGE CIR
APT 422
NORTH CHARLESTON, SC 29405-6435
Phone: (843) 601-0567 Fax:
Organization Subpart
No
Authorized Official
NACONDUS GAMBLE
OPTOMETRIST
Phone: (843) 601-0567
Updated
Taxonomy Code(s)

A taxonomy code is a code that describes the health care service provider's type, classification, and the area of specialization. The primary specialty for this provider is indicated as (Primary) below.

Taxonomy Classification / Specialization State License
261QH0100X
- Clinic/Center / Health Service (Primary)		 SC 1474

The taxonomy codes are selected by the provider at the time of NPI registration. Selection of a taxonomy code does not replace any credentialing or validation process that the provider requesting the code should complete.