Organization
PALMETTO EYE ASSOCIATES
Active
Other names
santee eye clinic
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JEFF POCKL (OWNER)
(803) 758-0058
Entity
Organization
Contact information
Practice address
150 PLAZA CIRCLE, SANTEE, SC 29142
(803) 854-2682
Mailing address
PO BOX 1030, HOLLY HILL, SC 29059-1030
(803) 854-2682
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
1053
SC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
DA9713
—
SC
Enumeration date
01/08/2009
Last updated
01/08/2009
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