Healthcare Provider Details

I. General information

NPI: 1669429445
Provider Name (Legal Business Name): WILLIAM CHRISTOPHER ORR
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 05/27/2006
Last Update Date: 05/29/2008
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1055 JOHNNIE DODDS BLVD
MT PLEASANT SC
29464
US

IV. Provider business mailing address

1055 JOHNNIE DODDS BLVD
MT PLEASANT SC
29464
US

V. Phone/Fax

Practice location:
  • Phone: 843-884-4343
  • Fax: 843-884-4616
Mailing address:
  • Phone: 843-884-4343
  • Fax: 843-884-4616

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code332H00000X
TaxonomyEyewear Supplier
License Number
License Number State
# 2
Primary TaxonomyY
Taxonomy Code152W00000X
TaxonomyOptometrist
License Number725
License Number StateSC

VIII. Authorized Official

Name: DR. WILLIAM CHRISTOPHER ORR
Title or Position: OWNER OPTOMETRIST
Credential: OD
Phone: 843-884-4343