Organization
TAYLOR-MADE EYEWEAR
Active
Organization subpart
No
Provider details
NPI number
Authorized official
TERESA COTHRAN (OWNER/OPTICIAN)
(864) 458-7884
Entity
Organization
Contact information
Practice address
435 N MAIN ST, MAULDIN, SC 29662-2305
(864) 458-7884
Mailing address
435 N MAIN ST, MAULDIN, SC 29662-2305
(864) 458-7884
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
Primary
—
SC
Other
Enumeration date
10/01/2007
Last updated
10/01/2007
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