NPI 1073246872
Donald Walter Ingram, LDO
Practice location
- Address
- 1636 Revolutionary Dr, Seneca, SC 29672
- Phone
- (864) 885-9075
- Mailing address
- 1636 Sandifer Blvd, Seneca, SC 29678-0906
Registered specialties
Optician
Primary
Registry record
- NPI
- 1073246872
- Entity type
- Individual
- Sex (as registered)
- Male
- NPI issued
- 8 Jul 2022
- Record last updated
- 8 Jul 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.