| NPI | 1164147492 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JIAXI DING Owner 336-997-4599 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207W00000X Ophthalmology |
| Additional Taxonomies | 207WX0009X Ophthalmology Glaucoma Specialist |
| Enumeration Date | 2022-10-10 |
| Last Update Date | 2023-04-24 |