| Look Of South Carolina Pa | |
|
710 Hopewell Dr Ste 106, Charleston, SC 29492-7108 | |
| (480) 580-6671 | |
| Not Available |
| Full Name | Look Of South Carolina Pa |
|---|---|
| Type | Facility |
| Speciality | Optometrist |
| Location | 710 Hopewell Dr Ste 106, Charleston, South Carolina |
| Accepts Medicare Assignments | Medicare enrolled and accepts medicare insurance. Providers at this facility may prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1376284299 | NPI | - | NPPES |
| 2242 | Other | SC | STATE OF SOUTH CAROLINA |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 152W00000X | Optometrist | (* (Not Available)) | Primary |
| Provider Name | Chad Carlsson |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1508853904 PECOS PAC ID: 8628047339 Enrollment ID: I20210128002856 |
| Mailing Address | Practice Location Address |
|---|---|
| Look Of South Carolina Pa 710 Hopewell Dr Ste 106, Charleston, SC 29492-7108 Ph: (843) 543-6333 | Look Of South Carolina Pa 710 Hopewell Dr Ste 106, Charleston, SC 29492-7108 Ph: (480) 580-6671 |
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