# CHILDRENS EYE SPECIALISTS LLC

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

## Provider details

- **NPI number:** 1225391915
- **Authorized official:** RONALD GUY WILLIAM TEED MD (OWNER)
- **Authorized official phone:** (336) 834-2220

## Contact information

- **Practice address:** 9565 HIGHWAY 78, BLDG 600, LADSON, SC 29456-4118
- **Practice address phone:** (843) 202-0288
- **Practice address fax:** (843) 202-0284
- **Mailing address:** 9565 HIGHWAY 78, BLDG 600, LADSON, SC 29456-4118
- **Mailing address phone:** (843) 202-0288
- **Mailing address fax:** (843) 202-0284

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207W00000X | Ophthalmology Physician | 29836 | SC | Yes |

## Other

- **Enumeration date:** 06/19/2012
- **Last updated:** 10/02/2012

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 05 | — | GP5959 | — | SC |