Provider Demographics
NPI:1922700202
Name:KNIGHT, DANA LORAINE (ABOP)
Entity Type:Individual
Prefix:MRS
First Name:DANA
Middle Name:LORAINE
Last Name:KNIGHT
Suffix:
Gender:F
Credentials:ABOP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:541 SEABOARD ST
Mailing Address - Street 2:
Mailing Address - City:MYRTLE BEACH
Mailing Address - State:SC
Mailing Address - Zip Code:29577-9733
Mailing Address - Country:US
Mailing Address - Phone:843-425-4897
Mailing Address - Fax:
Practice Address - Street 1:541 SEABOARD ST
Practice Address - Street 2:
Practice Address - City:MYRTLE BEACH
Practice Address - State:SC
Practice Address - Zip Code:29577-9733
Practice Address - Country:US
Practice Address - Phone:843-448-5791
Practice Address - Fax:843-448-2992
Is Sole Proprietor?:Yes
Enumeration Date:2023-03-20
Last Update Date:2023-03-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
SC1350156FX1800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes156FX1800XEye and Vision Services ProvidersTechnician/TechnologistOptician