| NPI | 1306060199 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | WHITNEY R O'BRIAN Owner/O PT Ometrist 864-246-0964 |
| Organization Subpart ? | No |
| Primary Taxonomy | 152W00000X Optometrist |
| Additional Taxonomies | 152W00000X Optometrist (Licence: SC 1027) |
| Enumeration Date | 2007-04-12 |
| Last Update Date | 2024-04-30 |