Organization
SAWYER VISION CLINIC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. HENRY V SAWYER JR. OD (OWNER)
(843) 423-2091
Entity
Organization
Contact information
Practice address
222 TOM GASQUE AVE, MARION, SC 29571-1149
(843) 423-2091
(843) 423-2093
Mailing address
PO BOX 1149, MARION, SC 29571-1149
(843) 423-2091
(843) 423-2093
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
619
SC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
410020931
MEDICARE RAILROAD
—
01
—
T248052969
MEDICARE GROUP
—
Enumeration date
11/30/2007
Last updated
07/31/2008
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