| NPI | 1275552572 |
|---|---|
| Other Name | R. GARY POOLE |
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 152W00000X Optometrist (Licence: SC 1282) |
| Additional Taxonomies | 152W00000X Optometrist (Licence: PA OEG000142) |
| Enumeration Date | 2006-07-18 |
| Last Update Date | 2017-05-04 |