NPI | LastName | FirstName | MidName | Organization | Mailing Address | City | State | Zip |
1285967935 |   |   |   | OPTICAL IMPRESSIONS LLC | 8096 RIVERS AVE STE A | N CHARLESTON | SC | 294069243 |
1447693551 |   |   |   | PAUL W DERRICK, OD PA | 8096 RIVERS AVE STE A | NORTH CHARLESTON | SC | 294069243 |
1245528389 | FULLEN | RYAN | TYLER |   | 8096 RIVERS AVE | NORTH CHARLESTON | SC | 294069235 |
1881804300 | RICHARD | LAWRENCE | EDWIN |   | 8096 RIVERS AVE STE A | NORTH CHARLESTON | SC | 294069243 |