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Organization

PALMETTO EYE SPECIALISTS-OPTOMETRISTS

Active
Parent organization
PALMETTO EYE SPECIALISTS, PA
Organization subpart
Yes

Provider details

NPI number
Legal business name
PALMETTO EYE SPECIALISTS, PA
Authorized official
EMILY C BOLLIN OD (OPTOMETRIST)
(843) 785-5398
Entity
Organization

Contact information

Practice address
220 PEMBROKE DR, HILTON HEAD, SC 29926-6200
(843) 785-5398
(843) 785-5394
Mailing address
220 PEMBROKE DR, HILTON HEAD, SC 29926-6200
(843) 785-5398
(843) 785-5394

Taxonomy

Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
1462
SC

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
D13326
SC
05
D14624
SC
05
GP2666
SC
Enumeration date
05/19/2008
Last updated
05/19/2008
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