Healthcare Provider Details

I. General information

NPI: 1679046569
Provider Name (Legal Business Name): EYE CARE ASSOCIATES OF SC LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 01/03/2019
Last Update Date: 04/03/2026
Certification Date: 04/03/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

506-A OLD LEXINGTON HWY
CHAPIN SC
29036
US

IV. Provider business mailing address

PO BOX 880
FORT WASHINGTON PA
19034-0880
US

V. Phone/Fax

Practice location:
  • Phone: 843-851-1037
  • Fax: 843-851-1392
Mailing address:
  • Phone: 803-906-9993
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

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

VIII. Authorized Official

Name: RUSSELL OSNES
Title or Position: OWNER
Credential: OD
Phone: 866-523-7999