Eyewear Boutique Inc

NPI 1093960106 - Optometrist - 152W00000X

NPI Details
NPI 1093960106
Enumeration Date 11/18/2008
Last Updated 11/18/2008
Entity Type Healthcare Provider
Active Over 8 years ago
Authorized Information
Name STEVE C STEVE
Position OPTOMETRIST
Phone (843) 374-2040
Fax
Practice Location
339 W MAIN ST
LAKE CITY SC, 29560-2366, US
Phone (843) 374-2040
Fax
Business Location
339 W MAIN ST
LAKE CITY SC, 29560-2366, US
Phone (843) 374-2040
Fax (843) 374-5131
Toxanomy
Taxonomy Code 152W00000X
License State South Carolina
License Number 561
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According to our database, Eyewear Boutique Inc NPI is 1093960106, taxonomy code is 152W00000X and license number is 561, license state is located at South Carolina. Eyewear Boutique Inc physically located at 339 W Main St, Lake City SC, 29560-2366. NPI Number 1033115704 has the healthcare provider type.

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1093960106 NPI number is provided on an as is basis without warranty of any kind. 1093960106 is maintained by the National Plan & Provider Enumeration System. The contents of Eyewear Boutique Inc are for informational purposes only.