| NPI | 1164637534 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | NANCY WILKES Patient Accounts Manager 803-806-0075 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332H00000X Eyewear Supplier (Equipment, not the service) |
| Enumeration Date | 2007-05-11 |
| Last Update Date | 2020-09-11 |