Coastal Optical Incorporated
NPI #1508910977 in Georgetown, South Carolina
Provider Information
- NPI Number
- 1508910977
- Entity Type
- Organization
- Organization Name
- Coastal Optical Incorporated
- Primary Specialty
- Technician/Technologist - Optician
- Enumeration Date
- Jan 23, 2007
- Last Updated
- Aug 22, 2020
Practice Location
- Address
- 1200 HIGHMARKET ST
- Address 2
- SUITE 200
- City
- Georgetown
- State
- South Carolina
- ZIP Code
- 29440-3227
- Phone
- (843) 546-0442
Authorized Official
- Name
- MRS. CAROL L. RATELIFF
- Title
- OFFICE MANAGER
- Phone
- (843) 546-0442
Specialties & Taxonomy Codes
| Specialty |
|---|
| Technician/Technologist - Optician — Optician |
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