SearchSouth CarolinaOptician

Jackie Key, ABOC, NCLEC, LDO

NPI 1194454413 · on the registry since 2022 · sole proprietor

Practice

Address
1041 Edgefield Rd
North Augusta, SC 29860
Phone
(803) 613-3087
Fax
(803) 202-7293
Organisation at this address
Wal-Mart Stores East , Lp
Inferred from a shared address, not stated in the registry.
Clinicians at this address
2

Additional practice sites

  • 1201 Knox Ave, North Augusta, SC

Registry record

Primary taxonomy
Optician
156FX1800X
Licence states on file
SC
From the registry's licence fields, which are often incomplete.
Sex
Male
Record last updated
2024-01-22

Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in South Carolina