Organization
MACMILLAN OPTICAL, INC.
Active
Parent organization
MACMILLAN, OPTICAL, INC
Other names
Spartanburg Vision West
Organization subpart
Yes
Provider details
NPI number
Legal business name
MACMILLAN, OPTICAL, INC
Authorized official
DR. TOM MACMILLAN OD (OWNER)
(864) 576-0564
Entity
Organization
Contact information
Practice address
227 E BLACKSTOCK RD, SUITE 200, SPARTANBURG, SC 29301-2631
(864) 576-0564
(864) 576-0594
Mailing address
227 E BLACKSTOCK RD, SUITE 200, SPARTANBURG, SC 29301-2631
(864) 576-0564
(864) 576-0594
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
991
SC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
DO9916
—
SC
Enumeration date
03/20/2007
Last updated
08/11/2008
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