Loris Eye Associates, P. C.

NPI 1215140793 - Optometrist - 152W00000X

NPI Details
NPI 1215140793
Enumeration Date 05/08/2007
Last Updated 08/07/2008
Entity Type Healthcare Provider
Active Over 9 years ago
Authorized Information
Name TRACY P. TRACY
Position OWNER
Phone (843) 756-1262
Fax (843) 756-6667
Practice Location
3819 MAIN ST
LORIS SC, 29569-3017, US
Phone (843) 756-1262
Fax (843) 756-6667
Business Location
3819 MAIN ST
LORIS SC, 29569-3017, US
Phone (843) 756-1262
Fax (843) 756-6667
Toxanomy
Taxonomy Code 152W00000X
License State South Carolina
License Number 860
Remove 1215140793 NPI Number
 

According to our database, Loris Eye Associates, P. C. NPI is 1215140793, taxonomy code is 152W00000X and license number is 860, license state is located at South Carolina. Loris Eye Associates, P. C. physically located at 3819 Main St, Loris SC, 29569-3017. NPI Number 1033115704 has the healthcare provider type.

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1215140793 NPI number is provided on an as is basis without warranty of any kind. 1215140793 is maintained by the National Plan & Provider Enumeration System. The contents of Loris Eye Associates, P. C. are for informational purposes only.