NPI | 1003235656 |
---|---|
Doing Business As | EYECO |
Entity Type | Organization |
Authorized Contact | JEAN CHAMPION-MARTIN Owner/Optometrist 803-419-8907 |
Organization Subpart ? | No |
Primary Taxonomy | 152W00000X Optometrist (Licence: SC 1117) |
Enumeration Date | 2014-04-10 |
Last Update Date | 2014-04-10 |