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
Update your record
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