Five Forks Vision, LLC

NPI #1609343227 in Simpsonville, South Carolina

Provider Information

NPI Number: 1609343227
Entity Type: Organization
Organization Name: Five Forks Vision, LLC
Primary Specialty: Optometrist
Enumeration Date: Nov 1, 2018
Last Updated: Aug 26, 2019

Practice Location

Address: 2827 WOODRUFF RD
City: Simpsonville
State: South Carolina
ZIP Code: 29681-4807
Phone: (864) 520-2480

Authorized Official

Name: GORDON STANLEY JOHNSON, OD
Title: OPTOMETRIST / OWNER
Phone: (864) 520-2480

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Optometrist	152W00000X	Primary

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