Organization
VAUGHT EYE ASSOCIATES, PA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JAMES M VAUGHT O.D. (PRESIDENT/OWNER)
(843) 488-2020
Entity
Organization
Contact information
Practice address
915 NORTH FRASER STREET, GEORGETOWN, SC 29440
(843) 436-2020
(843) 546-0506
Mailing address
1406 MAIN STREET, CONWAY, SC 29526-3567
(843) 488-2020
(843) 488-0141
Taxonomy
Speciality
Code
Description
License number
State
332H00000X
Eyewear Supplier
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
DA9874
—
SC
Enumeration date
09/22/2006
Last updated
08/22/2020
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