Organization
MACMILLAN OPTICAL, INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. THOMAS F MACMILLAN OD (OWNER)
(864) 833-5555
Entity
Organization
Contact information
Practice address
118 MUSGROVE ST, CLINTON, SC 29325-2350
(864) 833-5555
(864) 833-5520
Mailing address
118 MUSGROVE ST, CLINTON, SC 29325-2350
(864) 833-5555
(864) 833-5520
Taxonomy
Speciality
Code
Description
License number
State
305R00000X
Preferred Provider Organization
Primary
0991
SC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
DA9677
—
SC
Enumeration date
05/15/2006
Last updated
08/05/2008
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