| NPI | 1215283379 |
|---|---|
| Doing Business As | THE EYE GALLERY-DESTIN COMMONS |
| Entity Type | Organization |
| Authorized Contact | GALEN GRAYSON Owner/Medical Director 704-295-0001 |
| Organization Subpart ? | No |
| Primary Taxonomy | 156FX1800X Technician/Technologist, Optician |
| Enumeration Date | 2012-07-26 |
| Last Update Date | 2012-07-26 |