Provider Demographics
NPI:1285717835
Name:EDDIS, JAMES A III (OD)
Entity type:Individual
Prefix:DR
First Name:JAMES
Middle Name:A
Last Name:EDDIS
Suffix:III
Gender:M
Credentials:OD
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Mailing Address - Street 1:48 CLIPPER WAY
Mailing Address - Street 2:
Mailing Address - City:COLUMBIA
Mailing Address - State:SC
Mailing Address - Zip Code:29229-7005
Mailing Address - Country:US
Mailing Address - Phone:
Mailing Address - Fax:
Practice Address - Street 1:2240 W DEKALB ST
Practice Address - Street 2:
Practice Address - City:CAMDEN
Practice Address - State:SC
Practice Address - Zip Code:29020-2069
Practice Address - Country:US
Practice Address - Phone:803-572-5112
Practice Address - Fax:803-865-1856
Is Sole Proprietor?:No
Enumeration Date:2006-10-24
Last Update Date:2024-03-25
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
SC1849152W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes152W00000XEye and Vision Services ProvidersOptometrist