| NPI | 1124083167 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JENNIFER FAYE JORDAN President 919-734-8440 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207W00000X Ophthalmology (Licence: NC 25961) |
| Additional Taxonomies | 152W00000X Optometrist (Licence: NC 1019) |
| Enumeration Date | 2006-04-20 |
| Last Update Date | 2023-05-02 |