Healthcare Provider Details
I. General information
NPI: 1427432301
Provider Name (Legal Business Name): HARRINGTON EYE CENTER LLC
Entity Type: Organization
Gender:
Sole Proprietor:
II. Dates (important events)
Enumeration Date: 07/10/2015
Last Update Date: 07/10/2015
Certification Date:
Deactivation Date:
Reactivation Date:
III. Provider practice location address
181 W CHEVES ST
FLORENCE SC
29501-4401
US
IV. Provider business mailing address
181 W CHEVES ST
FLORENCE SC
29501-4401
US
V. Phone/Fax
- Phone: 843-662-0691
- Fax: 843-678-9723
- Phone: 843-662-0691
- Fax: 843-678-9723
VI. Provider taxonomy
Scope of Practice (Provider specialty)
| # 1 | |
| Primary Taxonomy | Y |
| Taxonomy Code | 152W00000X |
| Taxonomy | Optometrist |
| License Number | |
| License Number State | |
| # 2 | |
| Primary Taxonomy | N |
| Taxonomy Code | 156FX1800X |
| Taxonomy | Optician |
| License Number | |
| License Number State | |
| # 3 | |
| Primary Taxonomy | N |
| Taxonomy Code | 332H00000X |
| Taxonomy | Eyewear Supplier |
| License Number | |
| License Number State | |
VIII. Authorized Official
Name:
LEONARD
HARRINGTON
Title or Position: OWNER
Credential:
Phone: 843-662-0691