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Organization

SHELL POINT OPTICAL, INC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
DR. MICHAEL SENTMAN HENDERSON OD (PRESIDENT)
(843) 521-4037
Entity
Organization

Contact information

Practice address
204 MIDTOWN DR, BEAUFORT, SC 29906-5203
(843) 521-4037
(843) 521-0138
Mailing address
204 MIDTOWN DR, BEAUFORT, SC 29906-5203
(843) 521-4037
(843) 521-0138

Taxonomy

Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
879
SC

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
DA9885
SC
Enumeration date
02/05/2007
Last updated
05/07/2008
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