Organization
CAROLINA EYECARE PHYSICIANS, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DANIEL FLYNN (PRACTICE ADMINISTRATOR)
(843) 725-0064
Entity
Organization
Contact information
Practice address
1101 CLARITY RD STE 100, MT PLEASANT, SC 29464-3138
(843) 881-3937
(843) 375-1487
Mailing address
2861 TRICOM ST, NORTH CHARLESTON, SC 29406-9172
(843) 725-0064
(843) 569-7885
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
—
—
156FX1800X
Optician
—
—
207W00000X
Ophthalmology Physician
—
—
332H00000X
Eyewear Supplier
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
VA9854
—
SC
Enumeration date
05/30/2019
Last updated
01/26/2024
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