Organization
IVISION ASSOCIATES LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
BHUMIKA PATEL OD (OPTOMETRIST)
(224) 848-9385
Entity
Organization
Contact information
Practice address
9700 RED STONE DRIVE SUITE 300, INDIAN LAND, SC 29707
(224) 848-9385
Mailing address
9700 REDSTONE DR STE 300, INDIAN LAND, SC 29707-5409
(803) 548-3937
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
DA9497
—
SC
Enumeration date
10/25/2017
Last updated
04/29/2021
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