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Organization

EAST COAST OPTOMETRIC, INC.

Active
Other names
(DBA) H. Rubin Vision Center
Organization subpart
No

Provider details

NPI number
Authorized official
KENNETH M WEBBER (COO)
(803) 788-8204
Entity
Organization

Contact information

Practice address
130 FORUM DR. SUITE 12, H. RUBIN VISION CENTER, COLUMBIA, SC 29229
(803) 788-8204
(803) 788-8206
Mailing address
7539 GARNERS FERRY RD., EAST COAST OPTOMETRIC, INC., COLUMBIA, SC 29209
(803) 779-9313
(803) 779-9551

Taxonomy

Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
1431
SC
152W00000X
Optometrist

Other

Enumeration date
03/27/2007
Last updated
11/12/2010
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