| NPI | 1205974334 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | STEVEN L HALEO Optometrist 803-802-7171 |
| Organization Subpart ? | No |
| Primary Taxonomy | 152WP0200X Optometrist, Pediatrics (Licence: SC 1323) |
| Additional Taxonomies | 152WV0400X Optometrist, Vision Therapy (Licence: SC 1323) |
| Enumeration Date | 2007-02-01 |
| Last Update Date | 2020-08-22 |