Crescent Eye Care, LLC
Optometrist in Charleston, SC. Organization (NPI-2).
NPI number1083013239
StatusActive
Last updated in NPPESAug 13, 2014
Details
- NPI
- 1083013239
- Entity type
- Organization (NPI-2)
- Legal business name
- Crescent Eye Care, LLC
- Organization subpart
- No
- Enumeration date
- Aug 13, 2014
- Last updated
- Aug 13, 2014
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 152W00000X | Optometrist | 1481 | SC | Yes |
Practice location
3050 Ashley Town Center DrCharleston, SC 29414-5664
Phone 843-460-2000 · Fax 843-460-2022
Mailing address
3050 Ashley Town Center DrCharleston, SC 29414-5664
Phone 843-460-2000 · Fax 843-460-2022
Authorized official
Roy Devin McKinney
Optometrist
8434602000
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