Organization
LOFTIS AND ASSOCIATES P.A
Active
Organization subpart
No
Provider details
NPI number
Authorized official
CLARENCE EARL LOFTIS JR. O.D. (OWNER)
(803) 582-7999
Entity
Organization
Contact information
Practice address
115 E CHURCH ST, LEESVILLE, SC 29070-7595
(803) 582-7999
Mailing address
1219 LINCOLN ST, COLUMBIA, SC 29201-3135
(803) 799-2020
(803) 799-2035
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
636
SC
Other
Enumeration date
10/18/2013
Last updated
10/22/2013
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