Sansbury Vision Services LLC
Optometrist in Irmo, SC. Organization (NPI-2).
NPI number1669907671
StatusActive
Last updated in NPPESApr 27, 2017
Details
- NPI
- 1669907671
- Entity type
- Organization (NPI-2)
- Legal business name
- Sansbury Vision Services LLC
- Organization subpart
- No
- Enumeration date
- Apr 27, 2017
- Last updated
- Apr 27, 2017
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 152W00000X | Optometrist | 0838 | SC | Yes |
Practice location
7588 Woodrow StIrmo, SC 29063-2874
Phone 803-781-2123 · Fax 803-749-0183
Mailing address
275 Harbison Blvd Ste TColumbia, SC 29212-2222
Phone 803-781-2071 · Fax 803-781-5186
Authorized official
Ray A Sansbury
Ceo
8037812123
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