Organization
NEIGHBORLY OPTICAL
Active
Organization subpart
No
Provider details
NPI number
Authorized official
KEITH ENGRAM (OWNER)
(843) 552-2070
Entity
Organization
Contact information
Practice address
7013 DORCHESTER RD, SUITE D, NORTH CHARLESTON, SC 29418-3407
(843) 552-2070
(843) 552-2088
Mailing address
7013 DORCHESTER RD, SUITE D, NORTH CHARLESTON, SC 29418
(843) 552-2070
(843) 552-2088
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
C942
TRANSACTION ACCESS NUMBER
SC
Enumeration date
11/21/2014
Last updated
11/21/2014
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