Organization
SPARTANBURG VISION LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JEREMY ANDERSON O.D. (OPTOMETRIST)
(864) 585-7807
Entity
Organization
Contact information
Practice address
1200 E MAIN ST, SUITE 2, SPARTANBURG, SC 29307-1711
(864) 585-7807
Mailing address
1200 E MAIN ST, SUITE 2, SPARTANBURG, SC 29307-1711
(864) 585-7807
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
1321
SC
Other
Enumeration date
02/01/2010
Last updated
02/01/2010
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