Organization
SHELL POINT FAMILY EYECARE & OPTICAL LLC
Active
Other names
Shell Point Optical
Organization subpart
No
Provider details
NPI number
Authorized official
DR. FERINE JOHANNES O.D. (MEMBER)
(920) 915-3422
Entity
Organization
Contact information
Practice address
204 MIDTOWN DR, BEAUFORT, SC 29906-5203
(843) 521-4037
(843) 521-0138
Mailing address
204 MIDTOWN DR, BEAUFORT, SC 29906-5203
(843) 521-4037
(843) 521-0138
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
1568
SC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
PTAN: 7121350001
NATIONAL SUPPLIER CLEARINGHOUSE SUPPLIER OF DURABLE MEDICAL EQUIPMENT
SC
Enumeration date
03/27/2014
Last updated
12/02/2014
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