Organization
EYEWEAR INC
Active
Other names
Folline Vision Center 3
Organization subpart
No
Provider details
NPI number
Authorized official
MS. EMILY FOLLINE MIKELL (ITS VICE PRESIDENT)
(803) 799-8168
Entity
Organization
Contact information
Practice address
1631 BROAD RIVER ROAD, BOOZER SHOPPING CENTER #B, COLUMBIA, SC 29210
(803) 772-9229
(803) 731-0616
Mailing address
PO BOX 5721, COLUMBIA, SC 29250
(803) 799-8168
(803) 799-0854
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
—
—
156FX1800X
Optician
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
DA9856
—
SC
Enumeration date
06/20/2006
Last updated
03/04/2008
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