Organization
BEAUFORT EYE OPTICAL
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DEMETRAJANE KOKINAKIS DO (OWNER/PRESIDENT)
(843) 521-7185
Entity
Organization
Contact information
Practice address
1664 RIBAUT RD, PORT ROYAL, SC 29935-1708
(843) 522-8466
Mailing address
1664 RIBAUT RD, PORT ROYAL, SC 29935-1708
(843) 522-8466
Taxonomy
Speciality
Code
Description
License number
State
207W00000X
Ophthalmology Physician
Primary
—
—
Other
Enumeration date
11/03/2023
Last updated
11/07/2023
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