Organization
ORANGEBURG OPTOMETRIC LLC
Active
Other names
H Rubin Vision Center
Organization subpart
No
Provider details
NPI number
Authorized official
DR. SHANE L SPITTLER O.D. (DOCTOR)
(803) 535-2000
Entity
Organization
Contact information
Practice address
1530 CHESTNUT ST, ORANGEBURG, SC 29115-3426
(803) 535-2000
(803) 536-2020
Mailing address
1530 CHESTNUT ST, ORANGEBURG, SC 29115-3426
(803) 535-2000
(803) 536-2020
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
1105
SC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
D11057
—
SC
Enumeration date
11/07/2006
Last updated
08/22/2020
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