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Organization
MACMILLAN OPTICAL INC
Active
Organization
MACMILLAN OPTICAL INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
THOMAS F MACMILLAN OD (OWNER)
(864) 585-7807
Entity
Organization
Contact information
Practice address
1200 E MAIN ST STE 7, SPARTANBURG, SC 29307-1738
(864) 585-7807
(864) 585-8272
Mailing address
1200 E MAIN ST STE 7, SPARTANBURG, SC 29307-1738
(864) 585-7807
(864) 585-8272
Taxonomy
Speciality
Code
Description
License number
State
305R00000X
Preferred Provider Organization
Primary
0991
SC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
D09916
—
SC
Enumeration date
07/25/2007
Last updated
07/25/2007
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