Individual
DR. NEIL WILLIAM DRAISIN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
O.D.,F.C.O.V.D.
Contact information
Practice address
1470 TOBIAS GADSON BLVD, SUITE 115, CHARLESTON, SC 29407-4707
(843) 556-2020
(843) 763-3937
Mailing address
PO BOX 80817, CHARLESTON, SC 29416-0817
(843) 556-2020
(843) 763-3937
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
503
SC
152WC0802X
Corneal and Contact Management Optometrist
503
SC
152WP0200X
Pediatric Optometrist
503
SC
152WS0006X
Sports Vision Optometrist
503
SC
152WV0400X
Vision Therapy Optometrist
503
SC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
D05037
—
SC
Enumeration date
04/25/2006
Last updated
11/15/2007
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