Organization
ALLOUCH OPTOMETRY
Active
Other names
tidewater vision center
Organization subpart
No
Provider details
NPI number
Authorized official
DR. FOUAD SAFOU ALLOUCH O.D. (OWNER)
(843) 448-1596
Entity
Organization
Contact information
Practice address
1175 N FRASER ST, GEORGETOWN, SC 29440-2851
(843) 527-2682
(843) 527-2721
Mailing address
2703 N KINGS HWY, MYRTLE BEACH, SC 29577-3011
(843) 448-1596
(843) 448-4793
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
1211
SC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
D12118
—
SC
Enumeration date
05/17/2007
Last updated
08/21/2007
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