Organization
PELHAM VISION CENTER, PA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
KERRY R STECK O.D. (PRESIDENT)
(864) 627-0634
Entity
Organization
Contact information
Practice address
317 THE PKWY, GREER, SC 29650-4569
(864) 627-0634
(864) 627-1960
Mailing address
317 THE PKWY, GREER, SC 29650-4569
(864) 627-0634
(864) 627-1960
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
1072
SC
152W00000X
Optometrist
1707
SC
152W00000X
Optometrist
Primary
945
SC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
DA9947
—
SC
Enumeration date
11/01/2006
Last updated
07/16/2012
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