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Organization

JACKSON ARD VISION CENTER

Active
Organization subpart
No

Provider details

NPI number
Authorized official
MR. MARVIN E. ARD (PRESIDENT)
(843) 766-7753
Entity
Organization

Contact information

Practice address
975 SAVANNAH HWY, CHARLESTON, SC 29407-7859
(843) 166-7753
Mailing address
PO BOX 31919, CHARLESTON, SC 29417-1919
(843) 766-7753

Taxonomy

Speciality
Code
Description
License number
State
156FC0801X
Contact Lens Fitter
6
SC
156FX1800X
Optician
Primary
159
SC

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
DA9860
SC
Enumeration date
01/19/2007
Last updated
04/07/2008
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