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Organization
ORANGEBURG EYE CENTER
Active
Organization
ORANGEBURG EYE CENTER
Active
Organization subpart
No
Provider details
NPI number
Authorized official
CINDY S OTT (OFFICE MANAGER)
(803) 534-0266
Entity
Organization
Contact information
Practice address
1190 SUMMERS AVE, ORANGEBURG, SC 29115-4922
(803) 534-0266
Mailing address
PO BOX 1226, ORANGEBURG, SC 29116-1226
(803) 534-0266
Taxonomy
Speciality
Code
Description
License number
State
207W00000X
Ophthalmology Physician
Primary
—
NULL
207W00000X
Ophthalmology Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
CG9821
RAILROAD MEDICARE
SC
05
—
GP2883
—
SC
Enumeration date
08/21/2006
Last updated
10/23/2007
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