# CAROLINA EYECARE PHYSICIANS, LLC

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

## Provider details

- **NPI number:** 1528315447
- **Authorized official:** MR. DANIEL G FLYNN (PRACTICE ADMINISTRATOR)
- **Authorized official phone:** (843) 725-0064

## Contact information

- **Practice address:** 1280 HOSPITAL DRIVE, SUITE 100, MT. PLEASANT, SC 29464-3285
- **Practice address phone:** (843) 735-5437
- **Practice address fax:** (843) 735-5437
- **Mailing address:** 2861 TRICOM ST, N CHARLESTON, SC 29406-9172
- **Mailing address phone:** (843) 863-1304
- **Mailing address fax:** (843) 569-7885

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 156FX1800X | Optician | — | NULL | — |
| 156FX1800X | Optician | — | — | — |
| 332H00000X | Eyewear Supplier | — | NULL | Yes |

## Other

- **Enumeration date:** 08/09/2012
- **Last updated:** 08/09/2012