Organization
DOCTORS EYE CENTER, PA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. STEPHEN G BUCK O.D. (PRESIDENT)
(803) 798-6189
Entity
Organization
Contact information
Practice address
1283 BROAD ST, SUMTER, SC 29150-1973
(803) 905-8063
(803) 905-5527
Mailing address
124 LIMEHOUSE REACH RD, COLUMBIA, SC 29210-4402
(803) 798-6189
(803) 798-6189
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
591
SC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
U41908
UPIN
SC
Enumeration date
01/23/2009
Last updated
01/23/2009
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