| NPI | 1245450949 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CLIFFORD MARK BRITTAIN Owner Doctor 704-633-8975 |
| Organization Subpart ? | No |
| Primary Taxonomy | 152W00000X Optometrist (Licence: NC 200001358217) |
| Enumeration Date | 2007-04-26 |
| Last Update Date | 2009-02-02 |