Distinctive Eyewear Vision Center
NPI #1174806053 in Myrtle Beach, South Carolina
Provider Information
- NPI Number
- 1174806053
- Entity Type
- Organization
- Organization Name
- Distinctive Eyewear Vision Center
- Primary Specialty
- Optometrist
- Enumeration Date
- Sep 27, 2011
- Last Updated
- Sep 27, 2011
Practice Location
- Address
- 1206 MOSER DR
- Address 2
- THE MARKET COMMON
- City
- Myrtle Beach
- State
- South Carolina
- ZIP Code
- 29577-1575
- Phone
- (843) 213-1201
Authorized Official
- Name
- DR. LAURI BALDWIN GRAHAM, O.D.
- Title
- OWNER
- Phone
- (843) 213-1201
Specialties & Taxonomy Codes
| Specialty |
|---|
| Optometrist |
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