Provider Demographics
NPI:1871621797
Name:HOOD, JEFFREY (OD)
Entity type:Individual
Prefix:DR
First Name:JEFFREY
Middle Name:
Last Name:HOOD
Suffix:
Gender:M
Credentials:OD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1101 CLARITY RD
Mailing Address - Street 2:SUITE 100
Mailing Address - City:MT PLEASANT
Mailing Address - State:SC
Mailing Address - Zip Code:29464-3138
Mailing Address - Country:US
Mailing Address - Phone:843-881-3937
Mailing Address - Fax:843-375-1487
Practice Address - Street 1:1101 CLARITY RD
Practice Address - Street 2:SUITE 100
Practice Address - City:MT PLEASANT
Practice Address - State:SC
Practice Address - Zip Code:29464-3138
Practice Address - Country:US
Practice Address - Phone:843-881-3937
Practice Address - Fax:843-375-1487
Is Sole Proprietor?:No
Enumeration Date:2007-03-01
Last Update Date:2016-06-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
SC1161152W00000X
GAOPT001388152W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes152W00000XEye and Vision Services ProvidersOptometrist
Provider Identifiers
StateIdentifier IDID TypeIssuer
SCP01236556OtherRAILROAD MEDICARE
SCD11617Medicaid
GA132784132DMedicaid
GA132784132DMedicaid
SCP01236556OtherRAILROAD MEDICARE
SCD11617Medicaid
SC5909Medicare PIN
SC5911Medicare PIN