Organization
EYE2EYE VISION CARE, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. LESLIE KIRK OD (OPTOMETRIST)
(843) 513-8722
Entity
Organization
Contact information
Practice address
3525 PARK AVENUE BLVD, MOUNT PLEASANT, SC 29466
(843) 327-4000
(843) 501-7236
Mailing address
2362 STEVENSON DR, CHARLESTON, SC 29414-7138
(843) 513-8722
(843) 501-7236
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1871721910
OPTOMETRIST
SC
Enumeration date
05/26/2018
Last updated
07/10/2018
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