NPI 1144600107

Wilbur Carlyle Ardis

Practitioner Optician Sumter, SC

Practice location

Address: 2118 Gin Branch Rd, Sumter, SC 29154-7203
Phone: (803) 450-0384
Mailing address: 2118 Gin Branch Rd., Sumter, SC 29154

Registered specialties

Optician Primary

Eye and Vision Services Providers Taxonomy 156FX1800X Licence 1074 (SC)

Other Technician/Technologist providers in South Carolina →

Registry record

NPI: 1144600107
Entity type: Individual
Sex (as registered): Male
NPI issued: 4 Jun 2015
Record last updated: 4 Jun 2015

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.