# ANDERSON OPHTHALMOLOGY PC

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

## Provider details

- **NPI number:** 1245446392
- **Authorized official:** DR. BORIS ILG MD (PRESIDENT)
- **Authorized official phone:** (864) 224-0028

## Contact information

- **Practice address:** 1116 CORNELIA RD, ANDERSON, SC 29622
- **Practice address phone:** (864) 224-0028
- **Practice address fax:** (864) 225-5067
- **Mailing address:** 1116 CORNELIA RD, ANDERSON, SC 29621-3317
- **Mailing address phone:** (864) 224-0028
- **Mailing address fax:** (864) 224-2030

## Taxonomy

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

## Other

- **Enumeration date:** 05/15/2007
- **Last updated:** 01/23/2025

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 05 | — | 049557 | — | SC |