Organization
GOOSE CREEK VISION CENTER, INC.
Active
Other names
Dr. Melvin B. Watsky, Optometrist
Organization subpart
No
Provider details
NPI number
Authorized official
DR. MELVIN B. WATSKY O.D. (OPTOMETRIST)
(843) 797-1264
Entity
Organization
Contact information
Practice address
425 REDBANK RD, GOOSE CREEK, SC 29445-4505
(843) 797-1264
(843) 764-3602
Mailing address
425 REDBANK RD, GOOSE CREEK, SC 29445-4505
(843) 797-1264
(843) 764-3602
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
SC568
SC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
DA9765
—
SC
01
—
WA260115
HIGHMARK BC/BS GROUP #
SC
Enumeration date
11/08/2005
Last updated
03/24/2009
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