Organization
20/20 EYEWEAR INC.
Active
Parent organization
20/20EYEWEAR INC
Other names
20/20 EYEWEAR OF CONWAY
Organization subpart
Yes
Provider details
NPI number
Legal business name
20/20EYEWEAR INC
Authorized official
MR. JOHN BLAIR FOWLER L.D.O (OWNER)
(843) 248-2020
Entity
Organization
Contact information
Practice address
1315 HIGHWAY 501 BUSINESS STE A, CONWAY, SC 29526-9549
(843) 248-2020
(843) 347-2024
Mailing address
1315 HIGHWAY 501 BUSINESS STE A, CONWAY, SC 29526-9549
(843) 248-2020
(843) 347-2024
Taxonomy
Speciality
Code
Description
License number
State
332H00000X
Eyewear Supplier
Primary
713
SC
Other
Enumeration date
03/30/2012
Last updated
03/30/2012
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