Organization
MOBILE VISION OF SOUTH CAROLINA, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DELIA RITTER XX (CREDENTIALING COORDINATOR)
(502) 244-2441
Entity
Organization
Contact information
Practice address
12910 SHELBYVILLE RD, SUITE 300, LOUISVILLE, KY 40243-2404
(502) 244-2441
Mailing address
12910 SHELBYVILLE RD, SUITE 300, LOUISVILLE, KY 40243-2404
(502) 244-2441
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
1922
SC
Other
Enumeration date
03/04/2016
Last updated
03/04/2016
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