Medivision, PA

NPI #1518939511 in Walhalla, South Carolina

Provider Information

NPI Number: 1518939511
Entity Type: Organization
Organization Name: Medivision, PA
Primary Specialty: Optometrist
Enumeration Date: Feb 3, 2006
Last Updated: Feb 6, 2008

Practice Location

Address: 105 N EARLE ST
City: Walhalla
State: South Carolina
ZIP Code: 29691-2419
Phone: (864) 985-0691

Authorized Official

Name: MRS. TERESA H CROWE
Title: OFFICE ADMINSTRATOR
Phone: (864) 638-9505

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Optometrist	152W00000X	Primary

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