person
Stephen Goodwin, OPTICIAN
Optician in Orangeburg, South Carolina
NPI 1952387490

Stephen Goodwin is a Optician based in Orangeburg, SC and is specialized in Optician. Stephen Goodwin practices in Orangeburg, SC and has the professional credentials of OPTICIAN. The NPI Number for Stephen Goodwin is 1952387490 and holds a License No. 584 (South Carolina).

The current practice location address for Stephen Goodwin is 1230 Amelia St, Orangeburg, SC and can be reached out via phone at 803-531-0061 and via fax at 803-531-0095.

Location: 1230 Amelia St, Orangeburg, SC, 29115-5478
person
Provider Profile Details
NPI Number
1952387490
Provider Name
Stephen Goodwin
Credential
OPTICIAN
Provider Entity Type
Individual
Gender
Male
Address
1230 Amelia St, Orangeburg, SC, 29115-5478
Phone Number
803-531-0061
Fax Number
803-531-0095
Provider Enumeration Date
12/16/2005
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
DV5842 05 SC
institution
Provider Business Practice Location Address Details
Address
1230 Amelia St
City
State
Zip
29115-5478
Phone Number
803-531-0061
Fax Number
803-531-0095
person
Provider Business Mailing Address Details
Address
1230 Amelia St
City
State
Zip
29115-5478
Phone Number
803-531-0061
Fax Number
803-531-0095
person
Provider's Taxonomy Details 1
Type
Eye and Vision Services Providers
Classification
Technician/Technologist
Speciality
Optician
Taxonomy
License No.
584 (South Carolina)
Definition
Definition to come...
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