Organization
PRISMA HEALTH UNIVERSITY MEDICAL GROUP
Active
Other names
Prisma Health Eye Institute/Optical Shop-Easley
Organization subpart
No
Provider details
NPI number
Authorized official
KRISTI ANN LAWRENCE (DIRECTOR PROVIDER ENROLLMENT)
(864) 797-6118
Entity
Organization
Contact information
Practice address
109 FLEETWOOD DR, SUITE B, EASLEY, SC 29640-2019
(864) 522-3970
(864) 522-3975
Mailing address
1 INDEPENDENCE PT STE 212, GREENVILLE, SC 29615-4536
(864) 385-4790
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
Primary
—
—
Other
Enumeration date
12/07/2016
Last updated
05/15/2020
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