Organization
RATHOMPSON IN
Active
Other names
O'Boutique Luxury Optical
Organization subpart
No
Provider details
NPI number
Authorized official
MR. REGINALD ALLEN THOMPSON (OWNER)
(770) 617-2913
Entity
Organization
Contact information
Practice address
7511 HIGHWAY 76 STE 400, PENDLETON, SC 29670-9291
(864) 502-0102
Mailing address
7511 HIGHWAY 76 STE 400, PENDLETON, SC 29670-9291
(864) 502-0102
Taxonomy
Speciality
Code
Description
License number
State
261Q00000X
Clinic/Center
Primary
—
—
Other
Enumeration date
01/19/2026
Last updated
01/22/2026
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