| NPI | 1043228851 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LEAANN A WILKINSON Administrative Assistant 864-288-7445 |
| Organization Subpart ? | No |
| Primary Taxonomy | 152W00000X Optometrist (Licence: SC 682) |
| Enumeration Date | 2006-08-04 |
| Last Update Date | 2008-02-22 |