Organization
COOSAW EYE CENTER
Active
Other names
Festival Eye Center
Organization subpart
No
Provider details
NPI number
Authorized official
DR. THOMAS E TALKIE O.D. (OWNER)
(843) 767-2328
Entity
Organization
Contact information
Practice address
8484 DORCHESTER RD # B3, NORTH CHARLESTON, SC 29420-7319
(843) 767-2328
Mailing address
8484 DORCHESTER RD # B3, NORTH CHARLESTON, SC 29420-7319
(843) 767-2328
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
878
SC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1558353409
—
SC
Enumeration date
09/15/2009
Last updated
09/15/2009
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