| NPI | 1013007210 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ROBERT SZYPCZAK Optometrist/Part Owner 843-681-3396 |
| Organization Subpart ? | No |
| Primary Taxonomy | 152W00000X Optometrist (Licence: SC 1344) |
| Enumeration Date | 2006-10-16 |
| Last Update Date | 2016-05-12 |