Organization
LOOK OF SOUTH CAROLINA PA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. CHAD ALLEN CARLSSON OD (OWNER & MANAGING MEMBER)
(843) 543-6333
Entity
Organization
Contact information
Practice address
710 HOPEWELL DR STE 106, CHARLESTON, SC 29492-7108
(480) 580-6671
Mailing address
710 HOPEWELL DR STE 106, CHARLESTON, SC 29492-7108
(843) 543-6333
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
2242
STATE OF SOUTH CAROLINA
SC
Enumeration date
04/05/2022
Last updated
05/29/2024
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