Organization
SANSBURY VISION SERVICES LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. RAY A SANSBURY OPTICIAN (CEO)
(803) 781-2123
Entity
Organization
Contact information
Practice address
275 HARBISON BLVD STE T, COLUMBIA, SC 29212-2222
(803) 781-2123
(803) 781-5186
Mailing address
PO BOX 1107, IRMO, SC 29063-1107
(803) 781-2123
(803) 749-0183
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
0838
SC
Other
Enumeration date
05/02/2017
Last updated
05/02/2017
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