| 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 |