Organization
PERKINS EYECARE LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. KELLEY IRIC PERKINS OD (OWNER)
(843) 482-0028
Entity
Organization
Contact information
Practice address
511 N HIGHWAY 52, MONCKS CORNER, SC 29461-3132
(843) 482-0028
(843) 899-5875
Mailing address
PO BOX 1588, MONCKS CORNER, SC 29461-1588
(843) 482-0028
(843) 899-5875
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
50-1392
SC
Other
Enumeration date
12/17/2006
Last updated
12/11/2007
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