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Individual

LEIGH PURVIS

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
O.D.

Contact information

Practice address
1470 TOBIAS GADSON BLVD STE 115, CHARLESTON, SC 29407-4835
(843) 556-2020
(843) 763-3937
Mailing address
PO BOX 80817, CHARLESTON, SC 29416-0817
(843) 556-2020

Taxonomy

Speciality
Code
Description
License number
State
152W00000X
Optometrist
OFC77
FL
152W00000X
Optometrist
OPT.0003244
CO
152WV0400X
Vision Therapy Optometrist
Primary
OPT1981
SC

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
018916600
FL
Enumeration date
07/27/2016
Last updated
03/17/2018
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