Organization
SANSBURY VISION SERVICES LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. RAY A SANSBURY OPTICIAN (CEO)
(803) 781-2123
Entity
Organization
Contact information
Practice address
121 LUCY LN, COLUMBIA, SC 29229-7835
(803) 217-2550
(803) 217-2548
Mailing address
PO BOX 1107, IRMO, SC 29063-1107
(803) 781-2123
(803) 749-0183
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
SC0838
SC
Other
Enumeration date
04/27/2017
Last updated
04/27/2017
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