# SKUFCA ENTERPRISES LLC

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Camden Optical Shop
- **Organization subpart:** No

## Provider details

- **NPI number:** 1467594408
- **Authorized official:** DANIEL W SKUFCA MD (PRESIDENT)
- **Authorized official phone:** (803) 432-9874

## Contact information

- **Practice address:** 615 LAURENS ST, CAMDEN, SC 29020
- **Practice address phone:** (803) 432-6765
- **Practice address fax:** (803) 432-8441
- **Mailing address:** 615 LAURENS ST, CAMDEN, SC 29020
- **Mailing address phone:** (803) 432-6765
- **Mailing address fax:** (803) 432-8441

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 152W00000X | Optometrist | 596 | SC | — |
| 207W00000X | Ophthalmology Physician | 26982 | SC | Yes |

## Other

- **Enumeration date:** 02/13/2007
- **Last updated:** 11/11/2010

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 05 | — | 471678 | — | SC |