Organization
WESTMINSTER VISION ASSOCIATES
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. STACY J KROUT (OFFICE MANAGER)
(864) 654-4141
Entity
Organization
Contact information
Practice address
1390 TIGER BLVD STE 102, CLEMSON, SC 29631-2617
(864) 654-4141
(864) 654-4144
Mailing address
1390 TIGER BLVD STE 102, CLEMSON, SC 29631-2617
(864) 654-4141
(864) 654-4144
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
002217
CT
152W00000X
Optometrist
Primary
1040
SC
152W00000X
Optometrist
73286
MD
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
410037186
RAILROAD RETIREMENT
GA
Enumeration date
12/09/2005
Last updated
01/26/2023
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