Organization
LOOK, PC
Active
Other names
EyeCo
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JEAN CHAMPION-MARTIN OD (OWNER/OPTOMETRIST)
(803) 419-8907
Entity
Organization
Contact information
Practice address
332 LONG POINTE LN, COLUMBIA, SC 29229-5508
(803) 419-8907
Mailing address
332 LONG POINTE LN, COLUMBIA, SC 29229-5508
(803) 419-8907
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
1117
SC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
D11173
—
SC
Enumeration date
04/10/2014
Last updated
04/10/2014
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