| NPI | 1467594408 |
|---|---|
| Doing Business As | CAMDEN OPTICAL SHOP |
| Entity Type | Organization |
| Authorized Contact | DANIEL W SKUFCA President 803-432-9874 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207W00000X Ophthalmology (Licence: SC 26982) |
| Additional Taxonomies | 152W00000X Optometrist (Licence: SC 596) |
| Enumeration Date | 2007-02-13 |
| Last Update Date | 2010-11-11 |