| NPI | 1285772269 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ANGELA MICHELLE PATTESON Optometrist 803-279-5277 |
| Organization Subpart ? | No |
| Primary Taxonomy | 152W00000X Optometrist (Licence: SC sc674) |
| Enumeration Date | 2007-02-02 |
| Last Update Date | 2020-08-22 |