Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
MR. KEVIN PAUL ELLIOTT, LDO VCM
ActiveMR. KEVIN PAUL ELLIOTT, LDO VCM is a Optician, Dispensing healthcare provider located in LAKE WYLIE, South Carolina. NPI 1356071070 is currently active in the NPPES registry. Verify at CMS.
Optician, Dispensing · LAKE WYLIE, SC
Registration Details
- NPI Number
- 1356071070
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Jun 15, 2022 (4.1927352687154 yrs)
- Last Updated
- Jun 15, 2022
- License
-
SC464 (SC)
Practice Information
- Address
-
175 HIGHWAY 274LAKE WYLIE, SC, 297106045Browse SC providers · Browse ZIP 29710
- Phone
- 8036197025
- Fax
- 8038315049
- Primary Specialty
-
Optician, Dispensing
156FX1800X
Other Optician, Dispensing Providers in LAKE WYLIE, SC
| Name | Credential | NPI |
|---|---|---|
| DAVID MICHAEL LOWERY JR. | — | 1053144006 |
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.