| NPI | 1003185034 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CANDICE C FIX VP, Secretary, Treasurer 336-985-2020 |
| Organization Subpart ? | No |
| Primary Taxonomy | 152W00000X Optometrist (Licence: NC 2057) |
| Additional Taxonomies | 152W00000X Optometrist (Licence: NC 1560) |
| Enumeration Date | 2011-12-20 |
| Last Update Date | 2011-12-20 |