NPI | 1134156847 |
---|---|
Entity Type | Organization |
Authorized Contact | JAMES WILLIS FRESHWATER Optometrist/Owner 336-712-4733 |
Organization Subpart ? | No |
Primary Taxonomy | 152W00000X Optometrist (Licence: NC 1258) |
Additional Taxonomies | 152W00000X Optometrist (Licence: NC 1494) |
Enumeration Date | 2006-06-27 |
Last Update Date | 2011-05-18 |