Provider Demographics
NPI:1679739908
Name:CHARLESTON VISION CENTER
Entity Type:Organization
Organization Name:CHARLESTON VISION CENTER
Other - Org Name:H & H VISION CENTER
Other - Org Type:Former Legal Business Name
Authorized Official - Title/Position:OPTICIAN/OWNER
Authorized Official - Prefix:MR
Authorized Official - First Name:RONALD
Authorized Official - Middle Name:ALAN
Authorized Official - Last Name:HARBERT
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:843-795-7917
Mailing Address - Street 1:349 FOLLY RD
Mailing Address - Street 2:SUITE 1A
Mailing Address - City:CHARLESTON
Mailing Address - State:SC
Mailing Address - Zip Code:29412-2508
Mailing Address - Country:US
Mailing Address - Phone:843-795-7917
Mailing Address - Fax:843-762-7898
Practice Address - Street 1:349 FOLLY RD
Practice Address - Street 2:SUITE 1A
Practice Address - City:CHARLESTON
Practice Address - State:SC
Practice Address - Zip Code:29412-2508
Practice Address - Country:US
Practice Address - Phone:843-795-7917
Practice Address - Fax:843-762-7898
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2008-08-06
Last Update Date:2008-08-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes156FX1800XEye and Vision Services ProvidersTechnician/TechnologistOpticianGroup - Single Specialty
No332B00000XSuppliersDurable Medical Equipment & Medical SuppliesGroup - Single Specialty