| NPI | 1316631302 |
|---|---|
| Doing Business As | CREEKSIDE FAMILY EYE CARE |
| Entity Type | Organization |
| Authorized Contact | MARK EMERSON LEARY Co Owner 252-633-0016 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332H00000X Eyewear Supplier (Equipment, not the service) |
| Enumeration Date | 2023-06-05 |
| Last Update Date | 2023-06-05 |