Organization
FAMILY HEALTH CENTERS OPTOMETRY MOBILE UNIT
Active
Organization
FAMILY HEALTH CENTERS OPTOMETRY MOBILE UNIT
Active
Other names
Family Health Centers Optometry Mobile Unit
Organization subpart
No
Provider details
NPI number
Authorized official
STAN WARDLAW (CEO)
(803) 531-6900
Entity
Organization
Contact information
Practice address
3310 MAGNOLIA ST, ORANGEBURG, SC 29115-1466
(803) 531-6900
Mailing address
3310 MAGNOLIA ST, ORANGEBURG, SC 29115-1466
(803) 531-6900
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
—
—
261QF0400X
Federally Qualified Health Center (FQHC)
Primary
—
—
Other
Enumeration date
06/30/2016
Last updated
09/02/2025
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