Organization
CAROLINA EYECARE PHYSICIANS, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. DANIEL G FLYNN (PRACTICE ADMINISTRATOR)
(843) 725-0064
Entity
Organization
Contact information
Practice address
296 MIDLAND PKWY, SUMMERVILLE, SC 29485-8101
(843) 873-5577
Mailing address
2861 TRICOM ST, N CHARLESTON, SC 29406-9172
(843) 863-1304
Taxonomy
Speciality
Code
Description
License number
State
156FX1800X
Optician
—
SC
332H00000X
Eyewear Supplier
Primary
—
SC
Other
Enumeration date
04/19/2011
Last updated
01/26/2024
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