Organization
CAROLINA EYE CLINIC LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
PHILIP DUNNE FLYNN IV (OWNER/OPTOMETRIST)
(803) 799-7358
Entity
Organization
Contact information
Practice address
1901 GADSDEN ST, COLUMBIA, SC 29201-2346
(803) 799-7358
(803) 799-3919
Mailing address
1901 GADSDEN ST, COLUMBIA, SC 29201-2346
(803) 799-7358
(803) 799-3919
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0239370001
DME
SC
05
—
DA9752
—
SC
01
—
T240178001
NSC
SC
Enumeration date
03/06/2007
Last updated
06/03/2026
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