Individual
LARRY M SCHEELE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
OD
Contact information
Practice address
127 BROAD ST, SUMTER, SC 29150-4225
(803) 773-4313
Mailing address
127 BROAD ST, SUMTER, SC 29150-4225
(803) 773-4313
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
864
SC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
DO8640
—
SC
Enumeration date
01/25/2007
Last updated
03/03/2008
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