Organization
COVINGTON OPTOMETRIC EYE CLINIC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ABBIE C PREVATT (PRACTICE CONSULTANT)
(843) 537-3641
Entity
Organization
Contact information
Practice address
703 MARKET ST, CHERAW, SC 29520-2658
(843) 537-3641
(843) 537-3646
Mailing address
703 MARKET ST, CHERAW, SC 29520-2658
(843) 537-3641
(843) 537-3646
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
1588
SC
Other
Enumeration date
04/21/2010
Last updated
05/22/2014
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