# CAROLINA OPTICAL, LLC

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

## Provider details

- **NPI number:** 1528459062
- **Authorized official:** DR. SAMUEL MONTGOMERY JR. MD (OWNER)
- **Authorized official phone:** (864) 833-0038

## Contact information

- **Practice address:** 503 W BUTLER AVE, SALUDA, SC 29138-1313
- **Practice address phone:** (864) 445-2103
- **Practice address fax:** (864) 445-9696
- **Mailing address:** 503 W BUTLER AVE, SALUDA, SC 29138-1313
- **Mailing address phone:** (864) 445-2103
- **Mailing address fax:** (864) 445-9696

## Taxonomy

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

## Other

- **Enumeration date:** 02/05/2015
- **Last updated:** 02/05/2015