Fort Mill Optical INC

NPI #1548201908 in Fort Mill, South Carolina

Provider Information

NPI Number: 1548201908
Entity Type: Organization
Organization Name: Fort Mill Optical INC
Primary Specialty: Optometrist
Enumeration Date: Jun 9, 2006
Last Updated: Apr 1, 2008

Practice Location

Address: 1090 SPRATT ST
City: Fort Mill
State: South Carolina
ZIP Code: 29715-8226
Phone: (803) 547-5547

Authorized Official

Name: DR. DEBORAH A LONG, O.D.
Title: OPTOMETRIST/OWNER
Phone: (803) 547-5547

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Optometrist	152W00000X	Primary

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