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Organization

CARDINAL VISION LLC

Active
Other names
Cardinal Vision
Organization subpart
No

Provider details

NPI number
Authorized official
GAVIN WADE DAVIS (PRINCIPLE)
(803) 999-3937
Entity
Organization

Contact information

Practice address
4723A SUNSET BLVD, LEXINGTON, SC 29072-9151
(803) 999-3937
(425) 448-6516
Mailing address
5 RIDGE CLIFF CT, IRMO, SC 29063-7928
(803) 999-3937

Taxonomy

Speciality
Code
Description
License number
State
207W00000X
Ophthalmology Physician
Primary
207WX0120X
Cornea and External Diseases Specialist Physician

Other

Enumeration date
01/29/2020
Last updated
04/14/2026
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