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

MARIO GAUDIOMONTE

Active Sole Proprietor

MARIO GAUDIOMONTE is a Optician, Dispensing healthcare provider located in MYRTLE BEACH, South Carolina. NPI 1720719974 is currently active in the NPPES registry. Verify at CMS.

Optician, Dispensing · MYRTLE BEACH, SC

Registration Details

NPI Number
1720719974
Provider Type
Individual
Gender
Male
NPI Issued
Jun 20, 2022 (4.1092359843527 yrs)
Last Updated
Jun 20, 2022
License
747 (SC)
Sole Proprietor
Yes

Practice Information

Address
10820 KINGS RD
MYRTLE BEACH, SC, 295726070
Browse SC providers · Browse ZIP 29572
Phone
8434494626
Fax
8436920409
Primary Specialty
Optician, Dispensing
156FX1800X

Other Optician, Dispensing Providers in MYRTLE BEACH, SC

Name Credential NPI
MR. HORACE EARL FERGUSON JR. OPTICIAN 1124386438
MR. MATTHEW JOSHUA CRAVIN LDO, ABOC 1629629407
MARY OGLESBEE 1831828235
ALYCE TILGHMAN 1174253694
ANNE KATHERINE SLOAN LDO 1811627326
MRS. DANA LORAINE KNIGHT ABOP 1922700202
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.