Organization
CAROLINA FOREST FAMILY EYECARE, P.A.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. THOMAS WESHEFSKY O.D. (PRESIDENT)
(843) 903-0068
Entity
Organization
Contact information
Practice address
3874 RENEE DR, SUITE D, MYRTLE BEACH, SC 29579
(843) 903-6262
(843) 903-6228
Mailing address
3874 RENEE DR, SUITE D, MYRTLE BEACH, SC 29579
(843) 903-6262
(843) 903-6228
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
1404
SC
Other
Enumeration date
03/26/2007
Last updated
10/03/2012
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