Organization
ANGEL OAK EYE CENTER
Active
Organization subpart
No
Provider details
NPI number
Authorized official
PAUL W BOHAC O.D. (OWNER)
(843) 559-5333
Entity
Organization
Contact information
Practice address
2875 MAYBANK HWY, JOHNS ISLAND, SC 29455-4808
(843) 559-5333
(843) 559-5339
Mailing address
PO BOX 874, JOHNS ISLAND, SC 29457-0874
(843) 559-5333
(843) 559-5339
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
907
SC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
DA9762
—
SC
05
—
DO9070
—
SC
Enumeration date
12/08/2006
Last updated
10/27/2008
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