MEDICARE: ISLAND EYE CARE

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	152W00000X	Optometrist	1363	SC

General Provider Information

NPI Number	:	1467639369
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	ISLAND EYE CARE

Provider Business Mailing Address
First Line	:	250 SEVEN FARMS DR
Second Line	:	SUITE A
City	:	DANIEL ISLAND
State	:	SC
Zip	:	29492-8159
Country	:	US
Telephone Number	:	843-471-2733
Fax Number	:

Provider Business Practice Location Address
First Line	:	250 SEVEN FARMS DR
Second Line	:	SUITE A
City	:	DANIEL ISLAND
State	:	SC
Zip	:	29492-8159
Country	:	US
Telephone Number	:	843-471-2733
Fax Number	:

Authorized Official
Title or Position	:	OFF MGR
Name	:	MR. GREG C TURNER
Credential	:
Telephone Number	:	843-471-2733

Provider Enumeration Date	:	01/23/2008
Last Update Date	:	12/21/2012

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Directions to “ISLAND EYE CARE ” Practice Location

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