Organization
3 D OPTOMETRY PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
THOMAS J MIRABILE OD (PRESDIENT)
(843) 388-1888
Entity
Organization
Contact information
Practice address
1031 HIGHWAY 41 STE 400, MT PLEASANT, SC 29466-9320
(843) 388-1888
(843) 856-9643
Mailing address
1031 HIGHWAY 41 STE 400, MT PLEASANT, SC 29466-9320
(843) 388-1888
(843) 856-9643
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
1350
SC
Other
Enumeration date
12/12/2006
Last updated
06/21/2018
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