Organization
20/20 VISION CENTER INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. VICKI W CHAMBERLAIN OPTICIAN (OWNER)
(843) 797-5711
Entity
Organization
Contact information
Practice address
217 ST JAMES AVE, STE A5, GOOSE CREEK, SC 29445
(843) 797-5711
(843) 797-5712
Mailing address
217 ST JAMES AVE, STE A5, GOOSE CREEK, SC 29445
(843) 797-5711
(843) 797-5712
Taxonomy
Speciality
Code
Description
License number
State
156FX1800X
Optician
Primary
535
SC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
DV5352
—
SC
05
—
VA9963
—
SC
Enumeration date
07/21/2006
Last updated
08/22/2020
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