Provider Demographics
NPI:1346611969
Name:PARKEREYESLLC
Entity Type:Organization
Organization Name:PARKEREYESLLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OPTOMETRIST
Authorized Official - Prefix:DR
Authorized Official - First Name:ERIC
Authorized Official - Middle Name:EUGENE
Authorized Official - Last Name:LAWVER
Authorized Official - Suffix:
Authorized Official - Credentials:OD
Authorized Official - Phone:843-824-2878
Mailing Address - Street 1:7250 RIVERS AVE
Mailing Address - Street 2:SUITE E-7
Mailing Address - City:NORTH CHARLESTON
Mailing Address - State:SC
Mailing Address - Zip Code:29406-4625
Mailing Address - Country:US
Mailing Address - Phone:843-824-2878
Mailing Address - Fax:843-824-2873
Practice Address - Street 1:7250 RIVERS AVE
Practice Address - Street 2:SUITE E-7
Practice Address - City:NORTH CHARLESTON
Practice Address - State:SC
Practice Address - Zip Code:29406-4625
Practice Address - Country:US
Practice Address - Phone:843-824-2878
Practice Address - Fax:843-824-2873
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2015-10-08
Last Update Date:2015-10-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
SC1136152W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes152W00000XEye and Vision Services ProvidersOptometristGroup - Single Specialty