Organization
INNOVATIVE VISION CENTER LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. FRANK WILLIAM FORGNONI O.D. (OWNER/SOLE MEMBER)
(864) 646-3535
Entity
Organization
Contact information
Practice address
7611 HIGHWAY 76, STE. B, PENDLETON, SC 29670-9162
(864) 646-3535
(864) 646-3538
Mailing address
7611 HIGHWAY 76, STE. B, PENDLETON, SC 29670-9162
(864) 646-3535
(864) 646-3538
Taxonomy
Speciality
Code
Description
License number
State
152WV0400X
Vision Therapy Optometrist
Primary
1393
SC
Other
Enumeration date
06/17/2006
Last updated
08/22/2020
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