Blue Ridge Vision Associates. PA
Optometrist in Greer, SC. Organization (NPI-2).
NPI number1053584151
StatusActive
Last updated in NPPESAug 26, 2019
Details
- NPI
- 1053584151
- Entity type
- Organization (NPI-2)
- Legal business name
- Blue Ridge Vision Associates. PA
- Organization subpart
- No
- Enumeration date
- Apr 9, 2008
- Last updated
- Aug 26, 2019
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 152W00000X | Optometrist | – | – | Yes |
Practice location
312 Memorial DrGreer, SC 29650-1521
Phone 864-877-3031
Mailing address
312 Memorial DrGreer, SC 29650-1521
Phone 864-877-3031
Authorized official
Gordon S Johnson
President
8648773031
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