Healthcare Provider Details

I. General information

NPI: 1386576882
Provider Name (Legal Business Name): EYES ON AYNOR LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 06/01/2026
Last Update Date: 06/01/2026
Certification Date: 05/31/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2561 HIGHWAY 501 E
AYNOR SC
29511-3476
US

IV. Provider business mailing address

2561 HIGHWAY 501 E
AYNOR SC
29511-3476
US

V. Phone/Fax

Practice location:
  • Phone: 843-843-2040
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code152W00000X
TaxonomyOptometrist
License Number
License Number State

VIII. Authorized Official

Name: DR. HANNAH LANE
Title or Position: OPTOMETRIST
Credential: OD
Phone: 304-995-3927