NPI 1043705049

Kristian Andre Mostert, OD

Practitioner Optometrist Summerville, SC

Practice location

Address: 717 Old Trolley Rd STE 4, Summerville, SC 29485-5287
Phone: (843) 873-1889
Fax: (843) 873-1663
Mailing address: 4854 Rocking Porch Ln, Summerville, SC 29485-6603

Registered specialties

Optometrist Primary

Eye and Vision Services Providers Taxonomy 152W00000X Licence 2065 (SC)

Other Optometrist providers in South Carolina →

Registry record

NPI: 1043705049
Entity type: Individual
Sex (as registered): Male
NPI issued: 22 Jun 2018
Record last updated: 22 Jun 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.