Individual
SAMUEL D GARRETT
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
O.D.
Contact information
Practice address
210 MILLS AVE, GREENVILLE, SC 29605-4020
(864) 232-2779
(864) 232-2751
Mailing address
210 MILLS AVE, GREENVILLE, SC 29605-4020
(864) 232-2779
(864) 232-2751
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
714
SC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0643360001
DMEPOS
SC
01
—
410023165
RAIL ROAD MEDICARE
SC
01
—
CL3462
RAIL ROAD MEDICARE
SC
Enumeration date
03/24/2006
Last updated
10/15/2014
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