Organization
OPTICAL IMPRESSIONS LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. LAWRENCE E RICHARD (OWNER)
(843) 818-2020
Entity
Organization
Contact information
Practice address
1112 E N. MAIN STREET, SUMMERVILLE, SC 29483-7315
(843) 261-2020
(843) 261-2080
Mailing address
8096 RIVERS AVE STE A, N CHARLESTON, SC 29406-9243
(843) 818-2020
(843) 818-2379
Taxonomy
Speciality
Code
Description
License number
State
156FX1800X
Optician
Primary
905
SC
Other
Enumeration date
09/14/2009
Last updated
09/14/2009
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