Trident Low Vision Specialties, LLC
NPI #1619163391 in Ladson, South Carolina
Provider Information
- NPI Number
- 1619163391
- Entity Type
- Organization
- Organization Name
- Trident Low Vision Specialties, LLC
- Primary Specialty
- Clinic/Center - Health Service
- Enumeration Date
- Sep 17, 2007
- Last Updated
- Sep 17, 2007
Practice Location
- Address
- 9565 HIGHWAY 78
- Address 2
- BUILDING 300
- City
- Ladson
- State
- South Carolina
- ZIP Code
- 29456
- Phone
- (843) 412-2339
Authorized Official
- Name
- DR. NACONDUS GRAYSON GAMBLE, OD
- Title
- OPTOMETRIST
- Phone
- (843) 601-0567
Specialties & Taxonomy Codes
| Specialty |
|---|
| Clinic/Center - Health Service — Health Service |
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