# PALMETTO OPHTHALMOLOGY ASSOCIATES, P.A.

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

## Provider details

- **NPI number:** 1275580805
- **Authorized official:** MARK SANFORD KEISLER MD (OWNER/PRESIDENT)
- **Authorized official phone:** (803) 359-8777

## Contact information

- **Practice address:** 340 W BUTLER ST, LEXINGTON, SC 29072-2606
- **Practice address phone:** (803) 359-8777
- **Practice address fax:** (803) 359-1513
- **Mailing address:** 340 W BUTLER ST, LEXINGTON, SC 29072-2606
- **Mailing address phone:** (803) 359-8777
- **Mailing address fax:** (803) 359-1513

## Taxonomy

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

## Other

- **Enumeration date:** 05/28/2006
- **Last updated:** 10/11/2007

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 05 | — | 113326 | — | SC |
| 05 | — | 138381 | — | SC |
| 05 | — | GP2314 | — | SC |
| 05 | — | PC3867 | — | SC |
| 05 | — | Q91004 | — | SC |