Individual
CHELSEA SCEUSA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
OD
Contact information
Practice address
200 MOSAIC CIR, POOLER, GA 31322-5025
(912) 348-4584
Mailing address
PO BOX 4495, WEST COLUMBIA, SC 29171-4495
(720) 309-9464
(720) 222-5800
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
2270
SC
152W00000X
Optometrist
27OA00662500
NJ
152W00000X
Optometrist
OEG003118
PA
152W00000X
Optometrist
OPT003379
GA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
2270
STATE LICENSE
SC
Enumeration date
08/13/2015
Last updated
11/30/2022
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