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General NPI Number Information
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NPI Number | 1609335348
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Entity Type | Organization
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Legal Business Name | EYE ASSOCIATES OF CHARLESTON INC
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Dates
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Enumeration Date | 03/12/2019
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Last Update Date | 10/10/2024
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Provider Practice Location Address
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Address Line | 975 SAVANNAH HWY SPC 10
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City | CHARLESTON
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State | SC
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Zip | 29407-7859
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Country | US
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Telephone | 843-627-2020
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Fax | 843-627-2020
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Provider Business Mailing Address
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Address Line | 470 TOWN CENTER PL STE 5
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City | COLUMBIA
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State | SC
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Zip | 29229-7957
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Country | US
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Telephone | 843-627-2020
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Fax | 843-627-2020
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Authorized Official
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Title or Position | PRESIDENT
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Name | DR. BRADLEY POWERS
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Credential | OD
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Telephone | 731-307-8493
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 152W00000X
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Taxonomy Name | Optometrist
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License Number |
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License Number State |
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