Individual
JEFFREY STEPHEN POCKL
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
OD
Contact information
Practice address
2900B DEVINE ST, COLUMBIA, SC 29205-1842
(803) 376-4545
(803) 254-2324
Mailing address
2745 MONROE ST, COLUMBIA, SC 29205-2536
(803) 758-0058
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
1053
SC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
D10539
—
SC
Enumeration date
08/23/2005
Last updated
08/19/2010
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