Organization
LORIMAX, LLC
Active
Other names
Belle Hall Eye Care
Organization subpart
No
Provider details
NPI number
Authorized official
DR. LORI R ROBERTS O.D. (PRESIDENT)
(843) 971-6300
Entity
Organization
Contact information
Practice address
805 LONG POINT RD, MT PLEASANT, SC 29464-8202
(843) 971-6300
(843) 971-6301
Mailing address
805 LONG POINT RD, MT PLEASANT, SC 29464-8202
(843) 971-6300
(843) 971-6301
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
570539206
BCBS
SC
05
—
DA9707
—
SC
Enumeration date
12/12/2006
Last updated
04/17/2014
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