Organization
LOFTIS & ASSOCIATES, PA
Active
Other names
Eye on the Dream
Organization subpart
No
Provider details
NPI number
Authorized official
AMY L BRINKLEY (BILLING SPECIALIST)
(803) 798-8642
Entity
Organization
Contact information
Practice address
2430 ATLAS RD, COLUMBIA, SC 29209-3625
(803) 254-5638
(803) 799-2035
Mailing address
1219 LINCOLN ST, COLUMBIA, SC 29201-3135
(803) 799-2020
(803) 799-2035
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
636
SC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
DA9876
—
SC
Enumeration date
07/10/2006
Last updated
06/09/2008
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