Organization
PRIMARY CARE OPTOMETRY
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. KEITH G FARLEY OD (OWNER)
(843) 881-2525
Entity
Organization
Contact information
Practice address
855 HOUSTON NORTHCUTT BLVD, MT PLEASANT, SC 29464-3446
(843) 881-2525
(843) 881-2578
Mailing address
855 HOUSTON NORTHCUTT BLVD, MT PLEASANT, SC 29464-3446
(843) 881-2525
(843) 881-2578
Taxonomy
Speciality
Code
Description
License number
State
332H00000X
Eyewear Supplier
Primary
739
SC
Other
Enumeration date
02/17/2011
Last updated
02/17/2011
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