Optique

NPI #1891048872 in Fort Mill, South Carolina

Provider Information

NPI Number: 1891048872
Entity Type: Organization
Organization Name: Optique
Primary Specialty: Optometrist
Enumeration Date: Oct 16, 2012
Last Updated: Jul 16, 2014

Practice Location

Address: 1510 ONYX RIDGE RD
Address 2: SUITE 101
City: Fort Mill
State: South Carolina
ZIP Code: 29708
Phone: (803) 802-3937

Authorized Official

Name: DR. NICKOLAS VASTIS, O.D.
Title: PRESIDENT
Phone: (803) 409-8333

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Optometrist	152W00000X	Primary

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