| NPI | 1205944477 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JESSICA SCHROEDER Practice Administrator 910-332-3560 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207W00000X Ophthalmology (Licence: NC 9400211) |
| Enumeration Date | 2006-08-28 |
| Last Update Date | 2025-06-30 |