| NPI | 1114105608 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MARK E JACOBS President Optometrist 828-650-2727 |
| Organization Subpart ? | No |
| Primary Taxonomy | 152W00000X Optometrist (Licence: NC NC1366) |
| Enumeration Date | 2008-02-06 |
| Last Update Date | 2020-12-11 |