NPI | 1265677405 |
---|---|
Doing Business As | EASTSIDE EYECARE |
Entity Type | Organization |
Authorized Contact | MICHAEL E BALDWIN Owner 864-268-4204 |
Organization Subpart ? | No |
Primary Taxonomy | 152W00000X Optometrist (Licence: SC 0761) |
Enumeration Date | 2008-12-02 |
Last Update Date | 2008-12-02 |