Individual
KATE D TARVER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
OD
Contact information
Practice address
3618 SUNSET BLVD STE A, WEST COLUMBIA, SC 29169-3046
(803) 732-4099
(803) 227-8992
Mailing address
3618 SUNSET BLVD STE A, WEST COLUMBIA, SC 29169-3046
(803) 413-9618
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
1816
SC
152WV0400X
Vision Therapy Optometrist
1816
SC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
D18167
—
SC
Enumeration date
06/09/2014
Last updated
08/26/2021
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