| NPI | 1205819547 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KEITH R HOFFMAN Doctor Of Optometric Owner 919-286-7732 |
| Organization Subpart ? | No |
| Primary Taxonomy | 152W00000X Optometrist |
| Additional Taxonomies | 156FX1800X Technician/Technologist, Optician |
| Enumeration Date | 2005-11-21 |
| Last Update Date | 2012-03-08 |