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Organization
EYEWEAR BY DAVID
Active
Organization
EYEWEAR BY DAVID
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DAVID GHENT OPTICIAN (OWNER)
(803) 416-3937
Entity
Organization
Contact information
Practice address
927 UNIVERSITY DR, LANCASTER, SC 29720-9496
(803) 416-3937
Mailing address
PO BOX 16, LANCASTER, SC 29721-0016
(803) 416-3937
Taxonomy
Speciality
Code
Description
License number
State
332H00000X
Eyewear Supplier
Primary
648
SC
Other
Enumeration date
01/10/2017
Last updated
01/10/2017
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