20/20 Eyewear Inc.
NPI #1053687384 in Conway, South Carolina
Provider Information
- NPI Number
- 1053687384
- Entity Type
- Organization
- Organization Name
- 20/20 Eyewear Inc.
- Subpart
- Yes (part of a larger organization)
- Parent Organization
- 20/20EYEWEAR INC
- Primary Specialty
- Eyewear Supplier
- Enumeration Date
- Mar 30, 2012
- Last Updated
- Mar 30, 2012
Practice Location
- Address
- 1315 HIGHWAY 501 BUSINESS STE A
- City
- Conway
- State
- South Carolina
- ZIP Code
- 29526-9549
- Phone
- (843) 248-2020
Authorized Official
- Name
- MR. JOHN BLAIR FOWLER, L.D.O
- Title
- OWNER
- Phone
- (843) 248-2020
Specialties & Taxonomy Codes
| Specialty |
|---|
| Eyewear Supplier |
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