| NPI | 1205995354 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | RHETT H RICHARDSON Owner 803-642-9902 |
| Organization Subpart ? | No |
| Primary Taxonomy | 152W00000X Optometrist (Licence: SC 1290) |
| Additional Taxonomies | 152W00000X Optometrist (Licence: SC 758) |
| Enumeration Date | 2006-12-06 |
| Last Update Date | 2020-08-22 |