| NPI | 1295917714 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DIANE WHITE MAYNARD Licensed O PT Ician/ VP 828-256-6620 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 332H00000X Eyewear Supplier (Licence: NC 581) |
| Enumeration Date | 2007-11-27 |
| Last Update Date | 2007-11-27 |