Organization
OUTER VISION CORP
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DONALD ANDERSON (MANAGER/OPTICIAN)
(843) 572-7800
Entity
Organization
Contact information
Practice address
6185 RIVERS AVE STE G, NORTH CHARLESTON, SC 29406-4999
(843) 572-7800
(843) 572-7801
Mailing address
6185 RIVERS AVE STE G, NORTH CHARLESTON, SC 29406-4999
(843) 572-7800
(843) 572-7801
Taxonomy
Speciality
Code
Description
License number
State
156FX1800X
Optician
Primary
SC0551
SC
305R00000X
Preferred Provider Organization
1997-03227
SC
Other
Enumeration date
10/25/2008
Last updated
10/25/2008
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