NPI 1073672309

Paul M Beranek, OD

Practitioner Optometrist Charleston, SC

Practice location

Address: 1890 Sam Rittenberg Blvd STE 107, Charleston, SC 29407-4801
Phone: (843) 763-2020
Fax: (843) 763-2021
Mailing address: 1890 Sam Rittenberg STE 107, Charleston, SC 29407-4801

Registered specialties

Optometrist Primary

Eye and Vision Services Providers Taxonomy 152W00000X Licence 918 (SC)

Other Optometrist providers in South Carolina →

Registry record

NPI: 1073672309
Entity type: Individual
Sex (as registered): Male
NPI issued: 6 Dec 2006
Record last updated: 8 Jul 2007

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.