Organization
HILTON HEAD FAMILY EYECARE INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JAMES DANIEL KONDOR O.D. (PRESIDENT)
(843) 689-3015
Entity
Organization
Contact information
Practice address
1513 MAIN STREET VILLAGE, HILTON HEAD, SC 29926-1608
(843) 689-3015
Mailing address
1513 MAIN STREET VILLAGE, HILTON HEAD, SC 29926-1608
(843) 689-3015
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
849
SC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
DA9942
—
SC
Enumeration date
03/07/2007
Last updated
08/22/2020
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