Organization
ORANGEBURG OPTICIANS
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. CINDY S OTT (OFFICE MANAGER)
(803) 534-0266
Entity
Organization
Contact information
Practice address
1190 SUMMERS AVE NE, ORANGEBURG, SC 29115
(803) 536-2970
(803) 534-0904
Mailing address
PO BOX 1226, 1190 SUMMERS AVE NE, ORANGEBURG, SC 29116-1226
(803) 536-2970
(803) 584-0904
Taxonomy
Speciality
Code
Description
License number
State
332H00000X
Eyewear Supplier
Primary
—
SC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
DV0234
—
SC
Enumeration date
08/04/2006
Last updated
08/22/2020
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