The Optical Shop

NPI 1285957985 - Technician/Technologist - 156FX1800X

NPI Details
NPI 1285957985
Enumeration Date 03/09/2010
Last Updated 03/09/2010
Entity Type Healthcare Provider
Active Over 6 years ago
Authorized Information
Name HORACE EARL HORACE
Position LICENSED OPTICIAN
Phone (843) 347-6090
Fax
Practice Location
4335 DICK POND RD # 419
MYRTLE BEACH SC, 29588-6809, US
Phone (843) 347-6090
Fax
Business Location
3911A, HWY 17 BYPASS
MURRELLS INLET SC, 29576, US
Phone (843) 651-8214
Fax
Toxanomy
Taxonomy Code 156FX1800X
License State South Carolina
License Number 436
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According to our database, The Optical Shop NPI is 1285957985, taxonomy code is 156FX1800X and license number is 436, license state is located at South Carolina. The Optical Shop physically located at 4335 Dick Pond Rd # 419, Myrtle Beach SC, 29588-6809. NPI Number 1033115704 has the healthcare provider type.

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1285957985 NPI number is provided on an as is basis without warranty of any kind. 1285957985 is maintained by the National Plan & Provider Enumeration System. The contents of The Optical Shop are for informational purposes only.