| NPI | 1285968198 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CATHERINE J. VINCENT Office Manager 704-537-2020 |
| Organization Subpart ? | No |
| Primary Taxonomy | 152W00000X Optometrist (Licence: NC NC 1272) |
| Enumeration Date | 2009-09-24 |
| Last Update Date | 2009-09-24 |