COASTAL GRAND EYE ASSOCIATES LTD. CO.

MYRTLE BEACH, SC
NPI1780728824
Entity TypeOrganization
Authorized ContactLAWRENCE RAYMOND CUSTER
Member
843-424-2553
Organization Subpart ?No
Primary Taxonomy152W00000X Optometrist
(Licence: SC  SC1237)
Enumeration Date2007-02-19
Last Update Date2008-02-27
Business Address
COASTAL GRAND EYE ASSOCIATES LTD. CO.
1512 COASTAL GRAND CIRCLE C 330
MYRTLE BEACH, SC 29577-9779
Phone number: 843-444-0090
Mailing Address
COASTAL GRAND EYE ASSOCIATES LTD. CO.
PO BOX 50864
MYRTLE BEACH, SC 29579-0015
Phone number: 843-444-0090
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