Organization
CAROLINA EYECARE PHYSICIANS, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. DANIEL G FLYNN (PRACTICE ADMINISTRATOR)
(843) 725-0064
Entity
Organization
Contact information
Practice address
1280 HOSPITAL DRIVE, SUITE 100, MT. PLEASANT, SC 29464-3285
(843) 735-5437
(843) 735-5437
Mailing address
2861 TRICOM ST, N CHARLESTON, SC 29406-9172
(843) 863-1304
(843) 569-7885
Taxonomy
Speciality
Code
Description
License number
State
156FX1800X
Optician
—
—
332H00000X
Eyewear Supplier
Primary
—
—
Other
Enumeration date
08/09/2012
Last updated
08/09/2012
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