20/20 Vision, Llc

NPI 1902968878 - Ophthalmology - 207W00000X

NPI Details
NPI 1902968878
Enumeration Date 12/15/2006
Last Updated 05/11/2015
Entity Type Healthcare Provider
Active Over 11 years ago
Authorized Information
Name KELLY KELLY
Position OWNER
Phone (803) 748-9994
Fax (803) 748-1103
Practice Location
1924 BLOSSOM ST
COLUMBIA SC, 29205-2208, US
Phone (803) 748-9994
Fax (803) 748-1103
Business Location
1924 BLOSSOM ST
COLUMBIA SC, 29205-2208, US
Phone (803) 748-9994
Fax (803) 748-1103
Toxanomy
Taxonomy Code 207W00000X
License State South Carolina
License Number 21911
Remove 1902968878 NPI Number
 

According to our database, 20/20 Vision, Llc NPI is 1902968878, taxonomy code is 207W00000X and license number is 21911, license state is located at South Carolina. 20/20 Vision, Llc physically located at 1924 Blossom St, Columbia SC, 29205-2208. NPI Number 1033115704 has the healthcare provider type.

1902968878 NPI number is provided on an as is basis without warranty of any kind. 1902968878 is maintained by the National Plan & Provider Enumeration System. The contents of 20/20 Vision, Llc are for informational purposes only.