# ROBERTSON OPTICAL LABORATORIES INC

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

## Provider details

- **NPI number:** 1851430839
- **Authorized official:** MR. GORDON QUATTLEBAUM SCOTT JR. SC OPTICIAN (VICE PRESIDENT-OWNER)
- **Authorized official phone:** (803) 254-9381

## Contact information

- **Practice address:** 1812 WASHINGTON STREET, COLUMBIA, SC 29201
- **Practice address phone:** (803) 254-9381
- **Practice address fax:** (803) 254-1978
- **Mailing address:** 1812 WASHINGTON STREET, COLUMBIA, SC 29201
- **Mailing address phone:** (803) 254-9381
- **Mailing address fax:** (803) 254-1978

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 332H00000X | Eyewear Supplier | 352 | SC | Yes |

## Other

- **Enumeration date:** 02/06/2007
- **Last updated:** 08/22/2020

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 05 | — | DVO105 | — | SC |
| 05 | — | VA9999 | — | SC |