Organization
EYE CARE SERVICES INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
KIM L JERNIGAN (OFFICE MANAGER)
(803) 581-7400
Entity
Organization
Contact information
Practice address
136 CHURCH STREET, CHESTER, SC 29706
(803) 581-7400
(803) 581-0124
Mailing address
PO BOX 791, 136 CHURCH STREET, CHESTER, SC 29706
(803) 581-7400
(803) 581-0124
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
720
SC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
DD0720
—
SC
Enumeration date
08/05/2007
Last updated
10/23/2007
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