| NPI | 1114050192 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CHRISTI MICHELLE SALINAS Insurance Clerk 910-423-0700 |
| Organization Subpart ? | No |
| Primary Taxonomy | 152W00000X Optometrist (Licence: NC 1508) |
| Enumeration Date | 2007-03-13 |
| Last Update Date | 2008-06-26 |