| NPI | 1184890873 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JOHNNY RAY DUKES O PT Ometrist/Owner 803-285-8433 |
| Organization Subpart ? | No |
| Primary Taxonomy | 152WC0802X Optometrist Corneal and Contact Management (Licence: SC 767) |
| Enumeration Date | 2008-05-02 |
| Last Update Date | 2015-11-06 |