NPI 1003235656

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Organisation Optometrist Columbia, SC

Practice location

Address: 332 Long Pointe Ln, Columbia, SC 29229-5508
Phone: (803) 419-8907

Authorised official

Name: Jean Champion-Martin
Title: Owner/Optometrist
Phone: (803) 419-8907

Registered specialties

Optometrist Primary

Eye and Vision Services Providers Taxonomy 152W00000X Licence 1117 (SC)

Other Optometrist providers in South Carolina →

Registry record

NPI: 1003235656
Entity type: Organization
NPI issued: 10 Apr 2014
Record last updated: 10 Apr 2014

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.