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Organization

VILLAGE OPTICAL LLC

Active
Other names
EyeCare Specialties of Charleston
Organization subpart
No

Provider details

NPI number
Authorized official
DR. JAMES D ELLIOTT OD (DOCTOR)
(843) 577-2047
Entity
Organization

Contact information

Practice address
634 FRESHFIELDS DRIVE, JOHNS ISLAND, SC 29455
(843) 768-0565
(843) 768-0566
Mailing address
130 GARDNERS CIR, PMB 159, JOHNS ISLAND, SC 29455-5474
(843) 768-0565
(843) 768-0566

Taxonomy

Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
SC1029
SC

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
DA9655
SC
Enumeration date
07/03/2007
Last updated
04/28/2009
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