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General NPI Number Information
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NPI Number | 1619834256
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Entity Type | Organization
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Legal Business Name | ADVANCED OPTOMETRY KERRY M REEVES OD SC
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Dates
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Enumeration Date | 01/06/2026
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Last Update Date | 01/06/2026
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Provider Practice Location Address
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Address Line | 2000 COASTAL GRAND CIR STE 515 SUITE 515
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City | MYRTLE BEACH
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State | SC
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Zip | 29577-9605
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Country | US
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Telephone | 834-830-4678
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Fax |
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Provider Business Mailing Address
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Address Line | 2000 COASTAL GRAND CIR STE 515
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City | MYRTLE BEACH
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State | SC
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Zip | 29577-9605
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Country | US
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Telephone | 834-830-4678
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Fax |
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Authorized Official
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Title or Position | OPTOMETRIST
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Name | DR. KERRY REEVES
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Credential | OD
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Telephone | 843-839-4678
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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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