Organization
SIDNEY F THOMAS PA
Active
Other names
Edisto Vision Center
Organization subpart
No
Provider details
NPI number
Authorized official
DR. SIDNEY FRANKLIN THOMAS III OD (PRESIDENT)
(803) 536-3755
Entity
Organization
Contact information
Practice address
915 JOHN C CALHOUN DR, ORANGEBURG, SC 29115-6763
(803) 536-3755
(803) 536-2584
Mailing address
PO BOX 30201, CHARLESTON, SC 29417-0201
(803) 536-3755
(803) 536-2584
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
D09845
—
SC
01
—
PA9704
GROUP
—
Enumeration date
10/11/2005
Last updated
07/25/2013
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