Organization
DEVINE EYES INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. DAVID JEFFERY MATTHEWS O.D. (DIRECTOR)
(803) 376-4545
Entity
Organization
Contact information
Practice address
2421 DEVINE ST, COLUMBIA, SC 29205-2405
(803) 376-4545
(803) 254-2324
Mailing address
2421 DEVINE ST, COLUMBIA, SC 29205-2405
(803) 376-4545
(803) 254-2324
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
040649753
SC
Other
Enumeration date
06/06/2006
Last updated
03/19/2018
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