| NPI | 1235572363 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JOHN A KULITS CEO 336-529-4304 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QS0132X Clinic/Center Ophthalmologic Surgery (Licence: NC 200701744) |
| Enumeration Date | 2013-04-08 |
| Last Update Date | 2013-04-08 |