| NPI | 1538323654 |
|---|---|
| Former Legal Business Name | EXPERIENCED EYECARE,LLC |
| Entity Type | Organization |
| Authorized Contact | TAMMY LYNNE HALE-BANG Practice Administrator 843-764-3030 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 152W00000X Optometrist |
| Enumeration Date | 2008-07-17 |
| Last Update Date | 2008-07-30 |