Most Relevant Information
Provider Data
| NPI Number: | 1003291089 |
| Provider Name: | KELLY CHRISTINE TRUSSELL O.D. |
| Entity Type: | Individual |
| Taxonomy Code: | 152W00000X |
| Specialty: | Optometrist |
| License Number: | 18003922A |
Most Important Dates
| Enumeration Date: | 07/20/2015 |
| Last Updated: | 02/07/2022 |
Provider Practice Location
119 LIBRARY HILL LN
LEXINGTON
SC
290723893
Practice Location Phone/Fax
| Phone: | 8033592110 |
| Fax: |
Provider Mailing Location
1619 CATAWBA STREET
COLUMBIA
SC
29205
Provider Mailing Phone/Fax
| Phone: | 3177536443 |
| Fax: |