Organization
COASTAL EYE CARE OF JAMES ISLAND
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JARED FISHER OD (OWNER)
(843) 817-5824
Entity
Organization
Contact information
Practice address
1606 HARBOR VIEW RD, CHARLESTON, SC 29412-3216
(843) 795-3937
Mailing address
1606 HARBOR VIEW RD, CHARLESTON, SC 29412-3216
(843) 795-3937
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
1424
SC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
DA9527
—
SC
Enumeration date
01/03/2017
Last updated
02/07/2017
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