Organization
PALMETTO EYE ASSOCIATES
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JEFF POCKL O.D. (OWNER)
(803) 758-0058
Entity
Organization
Contact information
Practice address
2745 MONROE ST, COLUMBIA, SC 29205-2536
(803) 758-0058
Mailing address
2745 MONROE ST, COLUMBIA, SC 29205-2536
(803) 758-0058
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
1053
SC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
DA9713
—
SC
Enumeration date
06/20/2006
Last updated
01/03/2008
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