NPI | 1285967935 |
---|---|
Entity Type | Organization |
Authorized Contact | LAWRENCE E RICHARD Owner 843-818-2020 |
Organization Subpart ? | No |
Primary Taxonomy | 156FX1800X Technician/Technologist, Optician (Licence: SC 905) |
Enumeration Date | 2009-09-14 |
Last Update Date | 2009-09-14 |