Organization
BOLLIN OPTOMETRY LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. NICHOLAS BOLLIN OD (OPTOMETRIST)
(304) 382-2542
Entity
Organization
Contact information
Practice address
149 RIVERWALK BLVD, RIDGELAND, SC 29936-8190
(304) 382-2542
Mailing address
149 RIVERWALK BLVD, RIDGELAND, SC 29936-8190
(304) 382-2542
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
SC1463
SC
Other
Enumeration date
10/19/2010
Last updated
10/19/2010
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