Organization
JOHANSEN PRECISION EYE CARE LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. SAMUEL LEE JOHANSEN O.D. (OWNER)
(864) 992-6386
Entity
Organization
Contact information
Practice address
214 WALLER AVE, GREENWOOD, SC 29646-2747
(864) 543-3939
(864) 538-6284
Mailing address
PO BOX 238, NINETY SIX, SC 29666-0238
(864) 223-6062
(864) 538-6284
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
1872
SC
Other
Enumeration date
07/28/2015
Last updated
08/30/2023
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