Organization
PROFESSIONAL OPTICAL
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JOHN KULZE MD (PHYSICIAN)
(843) 556-2357
Entity
Organization
Contact information
Practice address
2270 ASHLEY CROSSING DR, STE 100, CHARLESTON, SC 29414-5749
(843) 571-3967
Mailing address
2270 ASHLEY CROSSING DR, STE 100, CHARLESTON, SC 29414-5749
(843) 571-3967
Taxonomy
Speciality
Code
Description
License number
State
156FX1800X
Optician
Primary
—
SC
207W00000X
Ophthalmology Physician
—
SC
Other
Enumeration date
11/06/2007
Last updated
06/06/2008
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