Organization
INTEGRATED VISION ASSOCIATES LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. ERIC R BANG OD (OWNER)
(864) 223-1960
Entity
Organization
Contact information
Practice address
1001 MAIN ST S, GREENWOOD, SC 29646-3230
(864) 223-1960
(864) 223-1627
Mailing address
110 OAK DR, ANDERSON, SC 29625-2908
(864) 223-1960
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
SC1045
SC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
DA9531
—
SC
Enumeration date
08/19/2016
Last updated
04/04/2022
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