Professional Eyecare Corporation

NPI #1487880514 in Lake Wylie, South Carolina

Provider Information

NPI Number: 1487880514
Entity Type: Organization
Organization Name: Professional Eyecare Corporation
Subpart: Yes (part of a larger organization)
Parent Organization: PROFESSIONAL EYECARE CORPORATION
Primary Specialty: Optometrist
Enumeration Date: Jun 3, 2009
Last Updated: Jul 18, 2013

Practice Location

Address: 439 CHANNEL RD
Address 2: STE 103
City: Lake Wylie
State: South Carolina
ZIP Code: 29710-6102
Phone: (803) 746-7711

Authorized Official

Name: DR. MONIE CLIFTON, O.D.
Title: OPTOMETRIST
Phone: (803) 746-7711

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Optometrist	152W00000X	Primary

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