Individual
DR. ETHAN CORY ALLEN ADKINS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
OD
Contact information
Practice address
200 PATEWOOD DR STE A200, GREENVILLE, SC 29615-3580
(864) 454-5540
(864) 241-9276
Mailing address
300 E MCBEE AVE FL 4, GREENVILLE, SC 29601-2842
(864) 522-8603
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
2046-IOD
WV
152W00000X
Optometrist
Primary
2480
SC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
WVTPID008819
—
WV
Enumeration date
05/31/2018
Last updated
09/02/2025
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