Individual
RIDWAN CARIM-SANNI
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
OD
Contact information
Practice address
4500 8TH DIVISION RD, COLUMBIA, SC 29207-5700
(803) 751-2160
Mailing address
1001 N GRAND AVE, TAHLEQUAH, OK 74464-7017
(918) 444-4000
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
030.0133965
VT
152W00000X
Optometrist
Primary
3334
OK
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
05/25/2022
Last updated
08/04/2026
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