NINI S PATHEJA NPI 1477692820

NPI Information

NINI S PATHEJA is an eyewear supplier in Aiken, SC. The provider is an organization that provides spectacles, contact lenses, and other vision enhancement devices prescribed by an optometrist or ophthalmologist. NINI S PATHEJA NPI is 1477692820. The provider is registered as an organization entity type.
The provider Is Doing Business As Aiken Optical.

The provider's business location address is:

110 PEPPER HILL WAY
AIKEN, SC
ZIP 29801-818
Phone: (803) 642-6060
Fax: (803) 642-0754

The provider's authorized official is Ladonne C Oconnor .
The authorized official title is Office Manager and has the following contact phone number (803) 642-6060.

The CLIA number assigned to this NPI record is 42D2064992 - physician office with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 2/5/2007 and was last updated on 6/18/2008.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

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