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Susan Boineau, OPTICIAN
Other Technician in Hollywood, South Carolina
NPI 1649331547

Susan Boineau is a Other Technician based in Adams Run, SC. Susan Boineau practices in Hollywood, SC and has the professional credentials of OPTICIAN. The NPI Number for Susan Boineau is 1649331547 and holds a License No. 730 (South Carolina).

The current practice location address for Susan Boineau is 7610 Highway 164, Hollywood, SC and can be reached out via phone at 843-889-9366 and via fax at 843-889-9940.

Location: 7610 Highway 164, Hollywood, SC, 29426-0038
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1649331547
Provider Name
Susan Boineau
Credential
OPTICIAN
Provider Entity Type
Individual
Gender
Female
Address
7610 Highway 164, Hollywood, SC, 29426-0038
Phone Number
843-889-9366
Fax Number
843-889-9940
Provider Enumeration Date
12/13/2006
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
VA9961 05 SC
institution
Provider Business Practice Location Address Details
Address
7610 Highway 164
City
Hollywood
State
South Carolina
Zip
29449-5934
Phone Number
843-889-9366
Fax Number
843-889-9940
person
Provider Business Mailing Address Details
Address
7610 Highway 164
City
Hollywood
State
South Carolina
Zip
29449-5934
Phone Number
843-889-9366
Fax Number
843-889-9940
person
Provider's Taxonomy Details 1
Type
Eye and Vision Services Providers
Classification
Technician/Technologist
Speciality
-
Taxonomy
156F00000X
License No.
()
Definition
A broad category grouping different kinds of technologists and technicians. See individual definitions.
person
Provider's Taxonomy Details 2
Type
Technologists, Technicians & Other Technical Service Providers
Classification
Technician, Other
Speciality
-
Taxonomy
247200000X
License No.
730 (South Carolina)
Definition
A collective term for persons with specialized training in various narrow fields of expertise whose occupations require training and skills in specific technical processes and procedures; and where further classification is deemed unnecessary by the user.
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7610 Highway 164,
HOLLYWOOD, SC
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843-889-9366
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