| NPI | 1154813566 |
|---|---|
| Other Name | ETHAN CORY A ADKINS |
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 152W00000X Optometrist (Licence: SC 2480) |
| Additional Taxonomies | 152W00000X Optometrist (Licence: WV 2046-IOD) |
| Enumeration Date | 2018-05-31 |
| Last Update Date | 2024-10-01 |