| NPI | 1134309263 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JOHN KULZE Physician 843-556-2357 |
| Organization Subpart ? | No |
| Primary Taxonomy | 156FX1800X Technician/Technologist, Optician |
| Additional Taxonomies | 207W00000X Ophthalmology |
| Enumeration Date | 2007-11-06 |
| Last Update Date | 2008-06-06 |