Organization
SANSBURY EYE CENTER, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. RAY ALLEN SANSBURY OPTICIAN (PRESIDENT/ CEO)
(803) 781-2123
Entity
Organization
Contact information
Practice address
7588 WOODROW ST, IRMO, SC 29063-2831
(803) 781-2123
(803) 749-0183
Mailing address
7588 WOODROW ST, IRMO, SC 29063-2831
(803) 781-2123
(803) 749-0183
Taxonomy
Speciality
Code
Description
License number
State
156FX1800X
Optician
Primary
33
SC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1093836124
NPI
SC
01
—
1720109622
NPI
SC
01
—
1902927031
NPI
SC
Enumeration date
03/21/2006
Last updated
01/21/2008
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