Individual
DR. RAYMOND GARY POOLE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
O.D.
Contact information
Practice address
1115 W FLOYD BAKER BLVD, GAFFNEY, SC 29341-1411
(864) 487-2020
(864) 487-3510
Mailing address
152 SUMMERLIGHT DR, MURRELLS INLET, SC 29576-7232
(843) 651-6262
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
1282
SC
152W00000X
Optometrist
OEG000142
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
29580
SPECTRA
SC
05
—
D12822
—
SC
01
—
SC9828
PTAN
SC
Enumeration date
07/18/2006
Last updated
05/04/2017
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