NPI | 1134244361 |
---|---|
Entity Type | Organization |
Authorized Contact | BRIAN L HUNT Co Owner 228-588-9065 |
Organization Subpart ? | No |
Primary Taxonomy | 152W00000X Optometrist (Licence: MS 653) |
Additional Taxonomies | 152W00000X Optometrist (Licence: MS 526) |
Enumeration Date | 2007-03-20 |
Last Update Date | 2020-08-22 |