1200 HIGHMARKET ST SUITE 200
GEORGETOWN, SC 29440-3227 US PECOS Enrolled
Overview
Walter A. Mayo is a Optometrist in the GEORGETOWN area and has over 39 years of experience. Walter A. Mayo primary office location is at 1200 HIGHMARKET ST and new patients are welcome to contact this healthcare provider for an appointment. He attended Illinois College Of Optometry At Chicago and graduated 1985 The NPI number is 1205850781 and the information was updated approximately 17 years ago.
Walter A. Mayo is affiliated with one medical group in the GEORGETOWN area, COASTAL EYE GROUP, P.C..
We have not detected any Exclusions tied directly to this NPI.
Accepts Medicare Assignment: Unknown
Is sole proprietor: NO
Participates in PECOS: YES (See any PECOS details below)
Contact Information
| License Number | State |
|---|---|
| 805 | SC |
| Type/Issuer | Identifier | State |
|---|---|---|
| MEDICAID | D08052 | SC |
| Taxonomy | State | Primary? |
|---|---|---|
| Optometrist - Taxonomy Code 152W00000X | SC | Y |
PECOS Details:
| Participates in PECOS: | YES |
| PECOS Individual Enrollment ID: | I20110131000629 |
| PECOS Individual PAC ID: | 5698954097 |
| Eligible to order/refer Part B Clinical Laboratory and Imaging | Yes |
| Eligible to order/refer Durable Medical Equipment (DME) | Yes |
| Eligible to order/refer Home Health Agency (HHA) | Yes |
| Eligible to order/refer Power Mobility Devices (PMD) | - |
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