# PEDIATRIC EYE CARE & STRABISMUS, P.C.

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

## Provider details

- **NPI number:** 1508269093
- **Authorized official:** ERIN BOOHER GOSHORN M.D. (PRESIDENT)
- **Authorized official phone:** (704) 236-3339

## Contact information

- **Practice address:** 1674 CRANIUM DR, SUITE 104, ROCK HILL, SC 29732-3567
- **Practice address phone:** (803) 327-3937
- **Practice address fax:** (803) 792-0545
- **Mailing address:** 1674 CRANIUM DR, SUITE 104, ROCK HILL, SC 29732-3567
- **Mailing address phone:** (803) 327-3937
- **Mailing address fax:** (803) 792-0545

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207W00000X | Ophthalmology Physician | 16005 | SC | Yes |

## Other

- **Enumeration date:** 09/29/2014
- **Last updated:** 09/29/2014

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 01 | — | 1295783223 | INDIVIDUAL NATIONAL PROVIDER IDENTIFICATION | NC |
| 05 | — | 8936361 | — | NC |
| 05 | — | NT5996 | — | SC |