| NPI | 1124198668 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DEBORAH MARIE AMOROSO Managing Member 843-815-3415 |
| Organization Subpart ? | No |
| Primary Taxonomy | 152W00000X Optometrist (Licence: SC 1332) |
| Enumeration Date | 2006-11-09 |
| Last Update Date | 2020-08-22 |