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Organization

COASTAL EYE CARE OF CHARLESTON, LLC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
DR. ROBERT C BROOKS O.D. (OPTOMETRIST)
(843) 795-3937
Entity
Organization

Contact information

Practice address
1606 HARBOR VIEW RD, CHARLESTON, SC 29412-3216
(843) 795-3937
(843) 795-4760
Mailing address
1606 HARBOR VIEW RD, CHARLESTON, SC 29412-3216
(843) 795-3937
(843) 795-4760

Taxonomy

Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
901
SC

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
410025802
RR MEDICARE
SC
05
D09015
SC
Enumeration date
04/18/2007
Last updated
10/15/2007
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