Organization
POOLE EYECARE PA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. BENJAMIN C POOLE OD (PRESIDENT)
(803) 222-9538
Entity
Organization
Contact information
Practice address
121 BETHEL ST, CLOVER, SC 29710-1101
(803) 222-9538
(803) 222-1898
Mailing address
121 BETHEL ST, CLOVER, SC 29710-1101
(803) 222-9538
(803) 222-1898
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
SC728
SC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
D07286
—
SC
Enumeration date
05/02/2006
Last updated
02/14/2024
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