| Organization Name: | CAROLINA EYECARE PHYSICIANS, LLC |
| NPI Number: | 1528315447 |
| Entity Type Code: | Organizational (2) |
| Authorized Official Name: | DANIEL G FLYNN (PRACTICE ADMINISTRATOR) |
| Mailing Address: | 1280 Hospital Drive Suite 100 Mt. Pleasant |
| State: | SC US |
| Postal Code: | 294643285 |
| Phone Number: | 8437355437 |
| Fax Number: | 8437355437 |
| NPI Enumeration Date: | 08/09/2012 |
| NPI Last Update Date: | 08/09/2012 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 156FX1800X |
| License Number: | |
| Healthcare Provider Taxonomy: (Secondary) | N |
| State: | |
| Taxonomy Type: | Eye and Vision Services Providers |
| Taxonomy Classification: | Technician/Technologist |
| Taxonomy Specialization: | Optician |
| Taxonomy Definition: | |