# R. E. JIMISON

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- **Entity:** Organization
- **Status:** Active
- **Other names:** raymond jimison
- **Organization subpart:** No

## Provider details

- **NPI number:** 1639358724
- **Authorized official:** SANDRA HUMM JIMISON (OPTICIAN)
- **Authorized official phone:** (843) 524-8302

## Contact information

- **Practice address:** 11 ROBERT SMALLS PKWY STE H, BEAUFORT, SC 29906-4216
- **Practice address phone:** (843) 524-8302
- **Mailing address:** 11 ROBERT SMALLS PKWY STE H, BEAUFORT, SC 29906-4216

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 332H00000X | Eyewear Supplier | 634 | SC | Yes |

## Other

- **Enumeration date:** 10/25/2007
- **Last updated:** 04/08/2011

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 05 | — | 140732 | — | SC |