Individual
LARISSA MEREDITH SIMKIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
OD
Contact information
Practice address
2007 2ND AVE STE 2, SUMMERVILLE, SC 29486-7888
(843) 873-1889
Mailing address
138 OYAMA RD, SUMMERVILLE, SC 29486-6977
(720) 218-4690
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
2484
SC
Other
Enumeration date
06/05/2024
Last updated
06/05/2024
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