NPI 1023748985

Diane Grossheim, ABOCNCLELDO

Practitioner Optician Camden, SC

Practice location

Address: 2240 W Dekalb St, Camden, SC 29020-2069
Phone: (803) 425-9896
Fax: (803) 425-8169

Registered specialties

Optician Primary

Eye and Vision Services Providers Taxonomy 156FX1800X Licence 1030 (SC)

Other Technician/Technologist providers in South Carolina →

Registry record

NPI: 1023748985
Entity type: Individual
Sex (as registered): Female
NPI issued: 14 Jun 2022
Record last updated: 14 Jun 2022

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.