Individual
IRINA GAZDOVICH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
OPTICIAN
Contact information
Practice address
4000 HIGHWAY 9, BOILING SPRINGS, SC 29316-8501
(864) 814-1232
Mailing address
4000 HIGHWAY 9, BOILING SPRINGS, SC 29316-8501
(864) 814-1231
(864) 814-1233
Taxonomy
Speciality
Code
Description
License number
State
156FX1800X
Optician
Primary
—
—
Other
Enumeration date
06/20/2022
Last updated
06/20/2022
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