Organization
STORY EYE, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JOHN W. STORY M.D. (OWNER MD)
(803) 285-7400
Entity
Organization
Contact information
Practice address
209 S WYLIE ST, LANCASTER, SC 29720-2353
(803) 285-7400
(803) 285-7554
Mailing address
209 S WYLIE ST, LANCASTER, SC 29720-2353
(803) 285-7400
(803) 285-7554
Taxonomy
Speciality
Code
Description
License number
State
207W00000X
Ophthalmology Physician
Primary
—
—
332H00000X
Eyewear Supplier
10512
SC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
GP1986
—
SC
Enumeration date
04/13/2007
Last updated
02/17/2012
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