| NPI | 1215738968 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | AMBER WIGGINS Owner/Managing Member 919-948-3082 |
| Organization Subpart ? | No |
| Primary Taxonomy | 152WP0200X Optometrist, Pediatrics |
| Additional Taxonomies | 152W00000X Optometrist |
| 152WV0400X Optometrist, Vision Therapy | |
| Enumeration Date | 2025-03-20 |
| Last Update Date | 2025-07-02 |