Organization
SOCASTEE EYE CLINIC INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. ROBERT NEAL WILLIAMS JR. (OPTOMETRIST)
(843) 293-8101
Entity
Organization
Contact information
Practice address
4885 SOCASTEE BLVD, MYRTLE BEACH, SC 29588-7245
(843) 293-8101
(843) 293-8102
Mailing address
4885 SOCASTEE BLVD, MYRTLE BEACH, SC 29588-7245
(843) 293-8101
(843) 293-8102
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
755
SC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
D00755
—
SC
Enumeration date
01/14/2008
Last updated
08/17/2011
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