Individual
SCOTT C OLIVER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
OD
Contact information
Practice address
406 N WILSON ST, ROCK HILL, SC 29730-4050
(803) 327-1181
(803) 327-9650
Mailing address
PO BOX 2935, ROCK HILL, SC 29732-4935
(803) 327-1181
(803) 327-9650
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
937
SC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
D09373
—
SC
01
—
P00609684
RAILROAD MEDICARE
SC
Enumeration date
12/13/2005
Last updated
03/04/2009
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