Individual
DR. ALICE C SUN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
O.D.
Contact information
Practice address
1231 FOLLY RD, CHARLESTON, SC 29412-4105
(873) 795-3400
(843) 795-3435
Mailing address
1231 FOLLY RD, CHARLESTON, SC 29412-4105
(873) 795-3400
(843) 795-3435
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
1111
SC
152WC0802X
Corneal and Contact Management Optometrist
1111
SC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
10403
SPECTERA
SC
01
—
47104
DAVIS VISION
SC
01
—
571077813
SUPERIOR VISION
SC
05
—
D11111
—
SC
01
—
D6995
MEDCOST
SC
Enumeration date
08/19/2006
Last updated
12/04/2007
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