Organization
POOLE FAMILY EYE CARE OF SIMPSONVILLE
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. BRIAN J. POOLE D.O. (MANAGING MEMBER)
(864) 680-3037
Entity
Organization
Contact information
Practice address
419 SE MAIN ST, STE 301, SIMPSONVILLE, SC 29681-2673
(864) 436-1234
(864) 963-7319
Mailing address
PO BOX 80927, SIMPSONVILLE, SC 29680-0016
(864) 436-1234
(864) 967-7319
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
1414
SC
152W00000X
Optometrist
1731
SC
152W00000X
Optometrist
1971
SC
152W00000X
Optometrist
539
SC
Other
Enumeration date
10/12/2015
Last updated
10/12/2015
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