NPI | 1003011446 |
---|---|
Doing Business As | HEALTHDRIVE EYE CARE GROUP |
Entity Type | Organization |
Authorized Contact | BAXTER J. SMITH President 857-255-0486 |
Organization Subpart ? | No |
Primary Taxonomy | 152W00000X Optometrist (Licence: NC 858) |
Enumeration Date | 2007-06-17 |
Last Update Date | 2021-07-14 |