Organization
CLEMSON EYE, PA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
LANITA WEISENBERGER (CREDENTIALING SPECIALIST)
(864) 722-1133
Entity
Organization
Contact information
Practice address
504 S 4TH ST, HARTSVILLE, SC 29550-5720
(864) 654-6706
Mailing address
15 SOUTHERN CENTER CT, EASLEY, SC 29642-1533
(864) 654-6706
(864) 343-2074
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
—
—
Other
Enumeration date
07/20/2020
Last updated
07/20/2020
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