Organization
THEODORE G. CROOK INC.
Active
Other names
Camden Eye Care Center
Organization subpart
No
Provider details
NPI number
Authorized official
DR. THEODORE G CROOK O.D. (PRESIDENT/OWNER)
(803) 424-1142
Entity
Organization
Contact information
Practice address
408 DEKALB ST, SUITE C, CAMDEN, SC 29020-4429
(803) 424-1142
Mailing address
408 DEKALB ST, SUITE C, CAMDEN, SC 29020-4429
(803) 424-1142
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
0413
SC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
DA9937
—
SC
05
—
DO4136
—
SC
Enumeration date
11/23/2005
Last updated
08/12/2008
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