| NPI | 1114213584 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JOSEPH MICHAEL DIPASQUA Owner/Optometrist 864-489-6871 |
| Organization Subpart ? | No |
| Primary Taxonomy | 152W00000X Optometrist (Licence: SC 11752) |
| Enumeration Date | 2011-06-23 |
| Last Update Date | 2011-06-23 |