Organization
NORTH SPARTANBURG EYE CENTER
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. ELLIOTT KELLER OD (OWNER/DOCTOR)
(864) 804-6412
Entity
Organization
Contact information
Practice address
8674 ASHEVILLE HIGHWAY, BOILING SPRINGS, SC 29316
(843) 804-6412
(843) 357-1471
Mailing address
8674 ASHEVILLE HIGHWAY, BOILING SPRINGS, SC 29316
(864) 804-6412
(864) 804-6413
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
1545
SC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1545
MEDICAL LISC
SC
Enumeration date
12/10/2013
Last updated
01/22/2014
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