| NPI | 1053331884 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KARA RICHARDSON VP Managed Health 704-631-0450 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332H00000X Eyewear Supplier (Equipment, not the service) |
| Enumeration Date | 2006-07-21 |
| Last Update Date | 2025-02-24 |