Organization
MARLBORO EYE CARE ASSOCIATES, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. DAVID SCOTT JOHNSON O.D. (PROPRIETOR)
(843) 479-2020
Entity
Organization
Contact information
Practice address
602 E MAIN ST, BENNETTSVILLE, SC 29512-3218
(843) 479-2020
(843) 454-2020
Mailing address
PO BOX 1094, BENNETTSVILLE, SC 29512-1094
(843) 479-2020
(843) 454-2020
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
1222
SC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
DA9664
—
SC
Enumeration date
02/27/2007
Last updated
02/19/2008
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