NPI | 1215156401 |
---|---|
Doing Business As | EYE CARE OF EDENTON |
Entity Type | Organization |
Authorized Contact | STEPHEN P BENKUSKY Owner 252-482-3218 |
Organization Subpart ? | No |
Primary Taxonomy | 152W00000X Optometrist |
Enumeration Date | 2007-04-25 |
Last Update Date | 2013-05-13 |