| NPI | 1275867061 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CATHERINE EMILY KISTER Optometrist/Owner 843-822-0466 |
| Organization Subpart ? | No |
| Primary Taxonomy | 152W00000X Optometrist (Licence: SC 1417) |
| Enumeration Date | 2009-09-25 |
| Last Update Date | 2009-09-25 |