INDIGO VISION CENTER PA
Optometry at Church St, Georgetown, SC

License number
South Carolina 1279
Category
Optometry
Type
Optometrist
Owner
Name: DR. OWEN C JOHNSON O.D.
Title: OWNER
Phone: (843) 546-2244
Address
Address
302 Church St, Georgetown, SC 29440
National Provider ID: 1700071149
LicenseFiles verified this license of Nov 7, 2017 at the National Plan and Provider Enumeration System.

Organization information

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INDIGO VISION CENTER, PA

407A Church St, Georgetown, SC 29440

Registration:
Aug 28, 2003
Business type:
Domestic
Formation place:
SOUTH CAROLINA
Agent:
Owen C Johnson

Optometry licenses in South Carolina



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