| NPI | 1225657455 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MARGARET ELIZABETH PHILLIPS Owner 228-231-9477 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207WX0200X Ophthalmology, Ophthalmic Plastic and Reconstructive Surgery |
| Enumeration Date | 2020-04-08 |
| Last Update Date | 2026-01-21 |