Organization
SHINE OPTICAL, INC
Active
Other names
Low Country Vision Center
Organization subpart
No
Provider details
NPI number
Authorized official
DR. FREDERICK ADRIAN SHINNERS JR. O.D. (PRESIDENT/CEO)
(843) 216-1338
Entity
Organization
Contact information
Practice address
1308 THEATER DR, MT PLEASANT, SC 29464-3398
(843) 216-1338
(843) 216-1487
Mailing address
1308 THEATER DR, MT PLEASANT, SC 29464-3398
(843) 216-1338
(843) 216-1487
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
SC 1149
SC
Other
Enumeration date
10/19/2010
Last updated
07/31/2012
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