Primary Care Optometry
Eyewear Supplier (Equipment, not the service) in Mt Pleasant, SC. Organization (NPI-2).
NPI number1841597408
StatusActive
Last updated in NPPESFeb 17, 2011
Details
- NPI
- 1841597408
- Entity type
- Organization (NPI-2)
- Legal business name
- Primary Care Optometry
- Organization subpart
- No
- Enumeration date
- Feb 17, 2011
- Last updated
- Feb 17, 2011
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 332H00000X | Eyewear Supplier (Equipment, not the service) | 739 | SC | Yes |
Practice location
855 Houston Northcutt BlvdMt Pleasant, SC 29464-3446
Phone 843-881-2525 · Fax 843-881-2578
Mailing address
855 Houston Northcutt BlvdMt Pleasant, SC 29464-3446
Phone 843-881-2525 · Fax 843-881-2578
Authorized official
Keith G Farley
Owner
8438812525
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