Organization
DR. GARY SHEPARD, PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. GARY SHEPARD O.D. (PRESIDENT)
(803) 640-0116
Entity
Organization
Contact information
Practice address
2035 WHISKEY RD, WALMART VISION CENTER, AIKEN, SC 29803-7956
(803) 643-3785
(803) 648-2440
Mailing address
2035 WHISKEY RD, WALMART VISION CENTER, AIKEN, SC 29803-7956
(803) 643-3785
(803) 648-2440
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
1012
SC
152WC0802X
Corneal and Contact Management Optometrist
1012
SC
Other
Enumeration date
04/22/2009
Last updated
05/19/2009
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