Organization
BRANCH & STAFFORD OPTOMETRIC ASSOCIATES, PA
Active
Other names
EYE CARE CENTER
Organization subpart
No
Provider details
NPI number
Authorized official
DR. ROBERT BRANCH OD (PRESIDENT)
(803) 345-3170
Entity
Organization
Contact information
Practice address
506 OLD LEXINGTON HWY, SUITE A, CHAPIN, SC 29036-9823
(803) 345-3170
(803) 233-2882
Mailing address
PO BOX 9, CHAPIN, SC 29036-0009
(803) 345-3170
(803) 233-2882
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
609,696,496,1336
SC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
D04966
—
SC
05
—
D06090
—
SC
05
—
DA9916
—
SC
Enumeration date
11/13/2006
Last updated
08/11/2008
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