Organization
EYEWEAR BOUTIQUE INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. STEVE C HOBBS OD (OPTOMETRIST)
(843) 374-2040
Entity
Organization
Contact information
Practice address
339 W MAIN ST, LAKE CITY, SC 29560-2366
(843) 374-2040
Mailing address
339 W MAIN ST, LAKE CITY, SC 29560-2366
(843) 374-2040
(843) 374-5131
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
561
SC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1DD05616
—
SC
Enumeration date
11/18/2008
Last updated
11/18/2008
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