Organization · NPI-2

Aiken Ophthalmology PC

Clinic/Center · Aiken, SC

NPI number1659315802
StatusActive
Last updated in NPPESAug 20, 2013

Details

NPI
1659315802
Entity type
Organization (NPI-2)
Legal business name
Aiken Ophthalmology PC
Organization subpart
Yes
Enumeration date
Jun 16, 2006
Last updated
Aug 20, 2013

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
261Q00000X Clinic/Center21946SCYes

Other names

  • Aiken Ophthalmology PC (Doing Business As)

Practice location

110 Pepper Hill Way
Aiken, SC 29801-2818

Phone 803-642-6060 · Fax 803-642-0754

Mailing address

110 Pepper Hill Way
Aiken, SC 29801-2818

Phone 803-642-6060 · Fax 803-642-0754

Authorized official

Denise L Krok
Administrator
8036426060

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