Icuthere LLC

NPI #1891122701 in Myrtle Beach, South Carolina

Provider Information

NPI Number: 1891122701
Entity Type: Organization
Organization Name: Icuthere LLC
Primary Specialty: Optometrist
Enumeration Date: Oct 9, 2013
Last Updated: Oct 9, 2013

Practice Location

Address: 2703 N KINGS HWY
City: Myrtle Beach
State: South Carolina
ZIP Code: 29577-3059
Phone: (843) 251-7162

Authorized Official

Name: FOUAD S ALLOUCH, OD
Title: OWNER
Phone: (843) 251-7162

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Optometrist	152W00000X	Primary

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