NPI 1003393539

Alexis Noelle Broussard, OD

Practitioner Optometrist Columbia, SC

Practice location

Address: 280 Harbison Blvd STE T, Columbia, SC 29212-2247
Phone: (803) 732-9200
Mailing address: 8704 Southampton Dr, Miramar, FL 33025-2716

Registered specialties

Optometrist Primary

Eye and Vision Services Providers Taxonomy 152W00000X Licence 2085 (SC)

Other Optometrist providers in South Carolina →

Registry record

NPI: 1003393539
Entity type: Individual
Sex (as registered): Female
NPI issued: 26 Jul 2018
Record last updated: 26 Jul 2018

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.