# ORANGEBURG OPTICIANS

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

## Provider details

- **NPI number:** 1689682510
- **Authorized official:** MS. CINDY S OTT (OFFICE MANAGER)
- **Authorized official phone:** (803) 534-0266

## Contact information

- **Practice address:** 1190 SUMMERS AVE NE, ORANGEBURG, SC 29115
- **Practice address phone:** (803) 536-2970
- **Practice address fax:** (803) 534-0904
- **Mailing address:** PO BOX 1226, 1190 SUMMERS AVE NE, ORANGEBURG, SC 29116-1226
- **Mailing address phone:** (803) 536-2970
- **Mailing address fax:** (803) 584-0904

## Taxonomy

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

## Other

- **Enumeration date:** 08/04/2006
- **Last updated:** 08/22/2020

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 05 | — | DV0234 | — | SC |