# ORANGEBURG EYE CENTER

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1194831586
- **Authorized official:** CINDY S OTT (OFFICE MANAGER)
- **Authorized official phone:** (803) 534-0266

## Contact information

- **Practice address:** 1190 SUMMERS AVE, ORANGEBURG, SC 29115-4922
- **Practice address phone:** (803) 534-0266
- **Mailing address:** PO BOX 1226, ORANGEBURG, SC 29116-1226
- **Mailing address phone:** (803) 534-0266

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207W00000X | Ophthalmology Physician | — | NULL | Yes |
| 207W00000X | Ophthalmology Physician | — | — | Yes |

## Other

- **Enumeration date:** 08/21/2006
- **Last updated:** 10/23/2007

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 01 | — | CG9821 | RAILROAD MEDICARE | SC |
| 05 | — | GP2883 | — | SC |