Organization
GOSNELL OPTICIANS INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. DANIEL BRUCE GOSNELL LICENSED OPTICIAN (OWNER OPTICIAN)
(864) 233-4148
Entity
Organization
Contact information
Practice address
1946 AUGUSTA STREET, GREENVILLE, SC 29605
(864) 233-4148
(864) 233-3620
Mailing address
1946 AUGUSTA STREET, GREENVILLE, SC 29605
(864) 233-4148
(864) 233-3620
Taxonomy
Speciality
Code
Description
License number
State
156FX1800X
Optician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
VA9997
—
SC
Enumeration date
05/26/2006
Last updated
08/22/2020
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