Organization
RICHARD R. POOLE, O.D.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. RICHARD R POOLE O.D. (OWNER)
(864) 427-0615
Entity
Organization
Contact information
Practice address
201 W SOUTH ST, UNION, SC 29379-2836
(864) 427-0615
(864) 429-8045
Mailing address
PO BOX 884, UNION, SC 29379-0884
(864) 427-0615
(864) 429-8045
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
641
SC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
D06410
—
SC
Enumeration date
02/27/2007
Last updated
12/28/2007
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