NPI | 1316156706 |
---|---|
Entity Type | Organization |
Authorized Contact | LAURI BALDWIN GRAHAM Owner And Optometrist 843-383-2013 |
Organization Subpart ? | No |
Primary Taxonomy | 332B00000X Durable Medical Equipment & Medical Supplies (Licence: SC 1396) |
Enumeration Date | 2007-05-22 |
Last Update Date | 2009-12-18 |