Custer, Lawrence Raymond
Custer, Lawrence Raymond is an individual health care provider with primary practice located at 1512 Coastal Grand Cir C330, Myrtle Beach SC 29577-0015. He recently has only one registered license in Eye and Vision Services Providers / Optometrist, which is considered as his primary health care specialty. Custer, Lawrence Raymond can be contacted via phone (843) 444-0090.Contact Information
Primary practice address
1512 Coastal Grand Cir C330
Myrtle Beach SC 29577-0015
Phone: (843) 444-0090
Fax: (843) 444-0377
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Eye and Vision Services Providers / Optometrist | 152W00000X | SC1237 | South Carolina |
Profile Details
| NPI number | 1740406214 |
|---|---|
| LBN Legal business name | Custer, Lawrence Raymond |
| Credentials | Doctor of Optometry (OD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Apr 17th, 2007 |
| Last updated | Feb 28th, 2008 - about 17 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1740406214 | NPPES |
| South Carolina | Other | SC1237 | EYEMED VISION CARE |
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