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
1420 KNOX ABBOTT DR., H. RUBIN CENTER, WEST COLUMBIA, SC 29169
(803) 739-8254
(803) 794-0948
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
770
SC
152W00000X
Optometrist
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
DA9957
—
SC
Enumeration date
11/01/2006
Last updated
11/12/2010
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