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Organization

SANSBURY EYE CENTER

Active
Organization subpart
No

Provider details

NPI number
Authorized official
MR. RAY SANSBURY OPTICIAN (CEO)
(803) 781-2123
Entity
Organization

Contact information

Practice address
205 COLUMBIA AVE, C, LEXINGTON, SC 29072-2662
(803) 957-8565
(803) 957-9675
Mailing address
205 COLUMBIA AVE, C, LEXINGTON, SC 29072-2662
(803) 957-8565
(803) 957-9675

Taxonomy

Speciality
Code
Description
License number
State
156FX1800X
Optician
Primary
204
SC

Other

Enumeration date
04/03/2007
Last updated
01/21/2008
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