| NPI | 1306016589 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JOSEPH M PITCAVAGE O PT Ometrist/President 843-870-4073 |
| Organization Subpart ? | No |
| Primary Taxonomy | 152W00000X Optometrist (Licence: SC SC1374) |
| Enumeration Date | 2008-03-04 |
| Last Update Date | 2008-06-02 |