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Organization

MANTER OPTOMETRIC, LLC

Active
Other names
H Rubin Vision Center
Organization subpart
No

Provider details

NPI number
Authorized official
STEVEN K DEAN OPTOMETRIST (OWNER)
(803) 775-7877
Entity
Organization

Contact information

Practice address
1057 BROAD ST STE 1, SUMTER MALL, SUMTER, SC 29150-2567
(803) 775-7877
(803) 934-0547
Mailing address
1057 BROAD ST STE 1, SUMTER MALL, SUMTER, SC 29150-2567
(803) 775-7877
(803) 934-0547

Taxonomy

Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
D11379
SC
Enumeration date
01/04/2006
Last updated
11/16/2007
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