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ANGELO JOSEPH DEVIVO OD, NPI 1326040536

Optometrist in ORANGEBURG, SC

Last Updated on : Jul 26,2022

About ANGELO JOSEPH DEVIVO (NPI 1326040536)


ANGELO JOSEPH DEVIVO is an Optometrist provider in ORANGEBURG, United States. His medical specialization is Optometrist .

1326040536 is NPI number of ANGELO JOSEPH DEVIVO.

ANGELO JOSEPH DEVIVO's primary taxonomy code based on NPI Lookup is 152W00000X with license number 2117. This taxonomy code refers to Optometrist.

ANGELO JOSEPH DEVIVO has more than 16 years of experience.

ANGELO JOSEPH DEVIVO current practice location address is 3310 MAGNOLIA ST, ORANGEBURG, SC. ANGELO JOSEPH DEVIVO can be reached out via phone at 803-531-6900 and via fax at 803-531-6907 .

You can also correspond with ANGELO JOSEPH DEVIVO through mail at mailing address 3310 MAGNOLIA ST, ORANGEBURG, SC, United States. Mailing address contact number is 803-531-6900.

The enumeration date of ANGELO JOSEPH DEVIVO is 01-Jun-2005. The provider is registered as an Individual and the NPI record was last updated 1 years ago.

1326040536 NPI Information

Name ANGELO JOSEPH DEVIVO
National Provider Id (NPI) 1326040536
Entity Type Individual
Gender M
Credential OD
Practice Address 3310 MAGNOLIA ST,
ORANGEBURG, SC, United States
Practice Telephone 803-531-6900
Practice Fax Number 803-531-6907
Mailing Address 3310 MAGNOLIA ST ,
ORANGEBURG, SC, United States
Mailing Telephone 803-531-6900
Mailing Fax Number 803-531-6907
Enumeration Date 01-Jun-2005
Last Updated Date 26-Jul-2022

ANGELO JOSEPH DEVIVO (NPI 1326040536) Primary Taxonomy Information

Primary Taxonomy Code Clasification License Number License State
Y 152W00000X Optometrist 2117 SC

ANGELO JOSEPH DEVIVO (NPI 1326040536) Secondary Taxonomy Information

Primary Taxonomy Code Clasification License Number License State
N 152W00000X Optometrist 4531 T1261 OH

Additional Identifiers

Identifier Type/Code Identifier State Identifier Issuer
D21171 MEDICAID (05) SC

ANGELO JOSEPH DEVIVO (NPI 1326040536) Office Location

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FAQs

Whose NPI Number is 1326040536?

1326040536 is the NPI number of ANGELO JOSEPH DEVIVO.

What is the specialty for ANGELO JOSEPH DEVIVO?

The Specialty of ANGELO JOSEPH DEVIVO is Optometrist.

NPI number meaning

Field Name Field Value
NPI 10-position all-numeric identification number assigned by the NPS to uniquely identify a health care provider.
Entity Type Code describing the type of health care provider that is being assigned an NPI. Codes are:
  • 1 = (Person): individual human being who furnishes health care;
  • 2 = (Non-person): entity other than an individual human being that furnishes health care (for example, hospital, SNF, hospital subunit, pharmacy, or HMO).
Provider Business Mailing Address The mailing address of the provider being identified contains First line, Second Line, City name, State name, Postal code, and Country code.
Provider Business Mailing Address Telephone Number The telephone number associated with mailing address of the provider being identified. This data element may contain the same information as "Provider location address telephone number".
Provider Business Mailing Address Fax Number The fax number associated with the mailing address of the provider being identified. This data element may contain the same information as ''Provider location address fax number''.
Provider Business Practice Location Address Telephone Number The telephone number associated with the location address of the provider being identified.
Provider Business Practice Location Address Fax Number The fax number associated with the location address of the provider being identified.
Provider Enumeration Date The date the provider was assigned a unique identifier (assigned an NPI).
Last Update Date The date that a record was last updated or changed.
Authorized Official Telephone Number The 10-position telephone number of the authorized official.
Healthcare Provider Taxonomy Code The Health Care Provider Taxonomy code is a unique alphanumeric code, ten characters in length. The code set is structured into three distinct "Levels" including Provider Type, Classification, and Area of Specialization.
Healthcare Provider Taxonomy Taxonomy Description of the Healthcare Provider.
Provider License Number Certain taxonomy selections will require you to enter your license number and the state where the license was issued. Select Foreign Country in the state drop down box if the license was issued outside of United States. The License Number field allows the following special characters: ampersand, apostrophe, colon, comma, forward slash, hyphen, left and right parentheses, period, pound sign, quotation mark, and semi-colon. A field cannot contain all special characters. DO NOT report the Social Security Number (SSN), IRS Individual Taxpayer Identification Number (ITIN) in this section.
Provider License Number State Code Provider License Number State Code #1
Healthcare Provider Primary Taxonomy Switch Primary Taxonomy:
  • X - The primary taxonomy switch is Not Answered;
  • Y - The taxonomy is the primary taxonomy (there can be only one per NPI record);
  • N - The taxonomy is not the primary taxonomy.
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