Clemson Ophthalmology

NPI #1790939254 in Clemson, South Carolina

Provider Information

NPI Number: 1790939254
Entity Type: Organization
Organization Name: Clemson Ophthalmology
Subpart: Yes (part of a larger organization)
Parent Organization: CLEMOSON OPHTHALMOLOGY
Primary Specialty: Optometrist
Enumeration Date: Nov 11, 2008
Last Updated: Nov 11, 2008

Practice Location

Address: 931 TIGER BLVD
City: Clemson
State: South Carolina
ZIP Code: 29631-1419
Phone: (864) 654-6706

Authorized Official

Name: MICHELLE FISK
Title: ACCOUNTS RECEIVABLE
Phone: (864) 654-6706

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Optometrist	152W00000X	Primary

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