Organization
DRS EYECARE, INC.
Active
Parent organization
CONTACT LENS CLINIC OF SC PA
Organization subpart
Yes
Provider details
NPI number
Legal business name
CONTACT LENS CLINIC OF SC PA
Authorized official
VINCE MILES (OFFICE MANAGER)
(803) 741-2010
Entity
Organization
Contact information
Practice address
620 GERVAIS ST, SUITE B, COLUMBIA, SC 29201-3048
(803) 779-1001
(803) 779-1089
Mailing address
620 GERVAIS ST, SUITE B, COLUMBIA, SC 29201-3048
(803) 779-1001
(803) 779-1089
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
DA9953
—
SC
Enumeration date
05/16/2007
Last updated
11/02/2012
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