William Justin Dungan
Optometrist
717 Trolley Rd Ste 3
Summerville
, South Carolina 29485-5287
William Justin Dungan
Optometrist
717 Trolley Rd Ste 3
Summerville
, South Carolina 29485-5287
(843) 873-1889
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About
Features
Specialties
- Optometrist
Languages spoken
- English
Location
First Address
- William Justin Dungan
- 717 Trolley Rd Ste 3
- Summerville, SC
- Zip : 29485-5287
- Phone : (843) 873-1889
Second Address
- William Justin Dungan
- 717 Trolley Rd Ste 3
- Summerville, SC
- Zip : 29485-5287
- Phone : (843) 873-1889
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| Y | 152W00000X | Optometrist | 1478 | SC |
National Provider Identifier
| NPI | 1013116037 |
|---|---|
| Provider Name | William Justin Dungan |
| First Address | Summerville, SC 29485-5287 |
| Second Address | Summerville, SC 29485-5287 |
| Gender | M |
| NPI Entity type | Individual |
| Is Sole Proprietor | No |
| Is Organization Subpart | N/A |
| Enumeration Date | 11/07/2007 |
| Last Update Date | 08/03/2012 |
Additional Identifiers
| IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
|---|---|---|
| P00999422 | RR MEDICARE PTAN (01) | SC |
NPI Footnotes
What is the National Provider Identifier (NPI)
Provider Location Address
Provider Mailing Address
Entity Type Code
1= Person: individual human being who furnishes health care;
2= Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)
What is a Subpart?
Provider Other Organization Name
1 = former name;
2 = professional name;
3 = doinq business as (d/b/ a) name;
4 = former legal business name;
5 = other.