Boulevard Plaza Inc

  • 1184719387 NPI Number
  • |
  • Actived: 17 years ago
  • |
Boulevard Plaza Inc is a health care provider based in Summerville, SC. The NPI Number is 1184719387 and it has been active since 17 years ago. The specialty is Optician, providing comprehensive mental health services to individuals, families, and communities. If you are looking for Optician services, Boulevard Plaza Inc is an excellent option. We are here to help you get the care you need.

Recently Active NPIs

Overview of Boulevard Plaza Inc

  • NPI number: 1558967950
  • Provider type: Organization
  • Active since: 10/04/2006
  • Last updated: 03/17/2018

Primary Scrop of Practice

  • Taxonomy Code: 156FX1800X
  • Specialty: Optician
  • License Number: 686
  • License State: SC

Provider Mailing Address

  • Address: 101 Old Trolley Rd
    Summerville, SC 29485
  • Phone: 843-871-9750
  • Fax: 843-873-6197

Provider Practice Location

  • Address: 101 Old Trolley Rd
    Summerville, SC 29485
  • Phone: 843-871-9750
  • Fax: 843-873-6197

Authorized Official

  • Name: MR. Kenneth Richard Davenport II
  • Position/Title: President
  • Telephone Number: 843-871-9750

Scope of Practice

  • Taxonomy Code: 152W00000X
  • Specialty: Optometrist
  • License Number: 589
  • License State: SC
  • Switch: Yes

Legacy Identifiers

  • Provider Identifier: DA9858
  • Identifier Type: Medicare Oscar/Certification
  • Identifier State: SC
  • Issuer:

Question & Answers

  • Q: What is the npi number?
  • A: An NPI is a 10-digit numeric identifier. It does not carry information about you, such as the State where you practice, your provider type, or your specialization. Your NPI will not change, even if your name, address, taxonomy, or other information changes.
  • Q: What are health care provider taxonomy codes?
  • A: The Health Care Provider (HCP) Taxonomy Codes Codes define a health care service provider type, classification, and area of specialization.
  • Q: What is the npi number for Boulevard Plaza Inc?
  • A: The npi number for Boulevard Plaza Inc is 1184719387.
  • Q: What are Boulevard Plaza Inc's specialties?
  • A: Boulevard Plaza Inc's specialties are Optician and different specialities.
  • Q: Where is Boulevard Plaza Inc business practice location?
  • A: Boulevard Plaza Inc business practice location is 101 Old Trolley Rd, Summerville, SC 29485.
  • Q: How to contact Boulevard Plaza Inc?
  • A: You can contact Boulevard Plaza Inc via 843-871-9750.
  • Q: What is the authorized official for Boulevard Plaza Inc?
  • A: The authorized office name is MR. Kenneth Richard Davenport II with position/title is President and you can reach the authorized official via phone number 8438719750.