| NPI | 1164685921 |
|---|---|
| Doing Business As | COASTAL NORTH VISION CARE |
| Entity Type | Organization |
| Authorized Contact | AARON BRENT WESTERLUND Sole Member 843-325-7131 |
| Organization Subpart ? | No |
| Primary Taxonomy | 152W00000X Optometrist (Licence: SC 1306) |
| Enumeration Date | 2008-07-02 |
| Last Update Date | 2014-07-17 |