Healthcare Provider Details

I. General information

NPI: 1235378712
Provider Name (Legal Business Name): EYE CARE SPECIALTIES GROUP - DANIEL ISLAND
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 02/06/2009
Last Update Date: 02/06/2009
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

250 SEVEN FARMS DR SUITE A
DANIEL ISLAND SC
29492-8159
US

IV. Provider business mailing address

250 SEVEN FARMS DR SUITE A
DANIEL ISLAND SC
29492-8159
US

V. Phone/Fax

Practice location:
  • Phone: 843-471-2733
  • Fax:
Mailing address:
  • Phone: 843-471-2733
  • 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. MICHAEL Z MORABITO
Title or Position: MANAGER
Credential: O.D.
Phone: 843-557-2865