Organization
EYE & CONTACT LENS ASSOCIATES, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
WILLIAM T NIMMONS O.D. (OWNER)
(864) 882-3338
Entity
Organization
Contact information
Practice address
807 BY PASS 123, SENECA, SC 29678-4759
(864) 882-3338
(864) 885-0349
Mailing address
PO BOX 249, SENECA, SC 29679-0249
(864) 882-3338
(864) 885-0349
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
669
SC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
DA9875
—
SC
Enumeration date
02/02/2006
Last updated
05/01/2012
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