Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

MR. JACKIE FITZGERALD KEY II, ABOC, NCLEC, LDO

Active Sole Proprietor

MR. JACKIE FITZGERALD KEY II, ABOC, NCLEC, LDO is a Optician, Dispensing healthcare provider located in NORTH AUGUSTA, South Carolina. NPI 1194454413 is currently active in the NPPES registry. Verify at CMS.

Optician, Dispensing · NORTH AUGUSTA, SC

Registration Details

NPI Number: 1194454413
Provider Type: Individual
Gender: Male
NPI Issued: Jun 10, 2022 (4.2064806740527 yrs)
Last Updated: Jan 22, 2024
License: 1173 (SC)
Sole Proprietor: Yes

Practice Information

Address: 1041 EDGEFIELD RD

NORTH AUGUSTA, SC, 298609279
Browse SC providers · Browse ZIP 29860
Phone: 8036133087
Fax: 8032027293
Primary Specialty: Optician, Dispensing
156FX1800X

Other Optician, Dispensing Providers in NORTH AUGUSTA, SC

Name	Credential	NPI
JENNIFER SMITH	—	1366173023
THERESA RANDALL	—	1356072011

Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.