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Clemson Eye, PA

Optometrist in Dillon, SC. Organization (NPI-2).

NPI number1669080305
StatusActive
Last updated in NPPESJul 20, 2020

Details

NPI
1669080305
Entity type
Organization (NPI-2)
Legal business name
Clemson Eye, PA
Organization subpart
No
Enumeration date
Jul 20, 2020
Certification date
Jul 20, 2020
Last updated
Jul 20, 2020

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
152W00000X Optometrist––Yes

Practice location

300 E Monroe St
Dillon, SC 29536-2560

Phone 864-654-6706

Mailing address

15 Southern Center Ct
Easley, SC 29642-1533

Phone 864-722-1133 · Fax 864-343-2074

Authorized official

Lanita Weisenberger
Credentialing Specialist
8647221133

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