Organization
SKUFCA ENTERPRISES LLC
Active
Other names
Camden Optical Shop
Organization subpart
No
Provider details
NPI number
Authorized official
DANIEL W SKUFCA MD (PRESIDENT)
(803) 432-9874
Entity
Organization
Contact information
Practice address
615 LAURENS ST, CAMDEN, SC 29020
(803) 432-6765
(803) 432-8441
Mailing address
615 LAURENS ST, CAMDEN, SC 29020
(803) 432-6765
(803) 432-8441
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
596
SC
207W00000X
Ophthalmology Physician
Primary
26982
SC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
471678
—
SC
Enumeration date
02/13/2007
Last updated
11/11/2010
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