Organization
PROFESSIONAL EYECARE CORPORATION
Active
Parent organization
PROFESSIONAL EYECARE CORPORATION
Organization subpart
Yes
Provider details
NPI number
Legal business name
PROFESSIONAL EYECARE CORPORATION
Authorized official
DR. MONIE CLIFTON O.D. (OPTOMETRIST)
(803) 746-7711
Entity
Organization
Contact information
Practice address
439 CHANNEL RD, STE 103, LAKE WYLIE, SC 29710-6102
(803) 746-7711
(803) 746-7189
Mailing address
439 CHANNEL RD, STE 103, LAKE WYLIE, SC 29710-6102
(803) 746-7711
(803) 746-7189
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
1447
SC
152W00000X
Optometrist
1448
SC
Other
Enumeration date
06/03/2009
Last updated
07/18/2013
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