Organization
ENVISION FAMILY EYECARE,LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. WILLIAM ROY REYNOLDS OD (OPTOMETRIST)
(803) 996-2020
Entity
Organization
Contact information
Practice address
5166 SUNSET BLVD, SUITE J, LEXINGTON, SC 29072-9258
(803) 351-9132
Mailing address
5166 SUNSET BLVD, SUITE J, LEXINGTON, SC 29072-9258
(803) 808-2917
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
1291
SC
152W00000X
Optometrist
1427
SC
Other
Enumeration date
06/09/2008
Last updated
07/22/2008
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