Organization
PALMETTO VISION
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ROBERT P AITKEN OD (PRESIDENT)
(843) 539-1992
Entity
Organization
Contact information
Practice address
2110 BELLS HWY, WALTERBORO, SC 29488-6978
(843) 559-1992
(843) 539-1994
Mailing address
2245 ASHLEY CROSSING DR UNIT A, CHARLESTON, SC 29414-5704
(843) 559-1992
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
1166
SC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
DA9712
—
SC
01
—
DQ7346
RAIL ROAD MEDICARE
SC
Enumeration date
01/08/2007
Last updated
05/19/2011
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