| NPI | 1043407927 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | EILEEN MARIE WALSH O PT Ometrist/President 919-844-0938 |
| Organization Subpart ? | No |
| Primary Taxonomy | 152W00000X Optometrist (Licence: NC 1630) |
| Enumeration Date | 2007-09-25 |
| Last Update Date | 2010-11-04 |