Organization
FOOTHILLS FAMILY OPTICAL
Active
Organization subpart
No
Provider details
NPI number
Authorized official
BENJAMIN CADE OPTICIAN (OWNER)
(859) 420-2143
Entity
Organization
Contact information
Practice address
404 JOHNSON ST STE A, PICKENS, SC 29671-2479
(859) 420-2143
Mailing address
197 RIGGINS BRIDGE RD, LIBERTY, SC 29657-9300
(859) 420-2143
Taxonomy
Speciality
Code
Description
License number
State
332H00000X
Eyewear Supplier
Primary
—
—
Other
Enumeration date
07/14/2020
Last updated
07/14/2020
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