Organization
MILICI FAMILY VISION CTR
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. SARA HOPKINS BOPP O.D. (OWNER)
(864) 967-8582
Entity
Organization
Contact information
Practice address
877 NORTH EAST MAIN ST, SUITE A, SIMPSONVILLE, SC 29681-2041
(864) 967-8582
Mailing address
877 NORTH EAST MAIN ST, SUITE A, SIMPSONVILLE, SC 29681-2041
(864) 967-8582
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
29160
PARTNERS
SC
01
—
360666215
BLUE CROSS BLUE SHIELD
SC
05
—
D09300
—
SC
Enumeration date
04/18/2007
Last updated
10/05/2011
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