| NPI | 1073569547 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DANIEL BRUCE GOSNELL Owner Optician 864-233-4148 |
| Organization Subpart ? | No |
| Primary Taxonomy | 156FX1800X Technician/Technologist, Optician |
| Enumeration Date | 2006-05-26 |
| Last Update Date | 2020-08-22 |