| NPI | 1326071135 |
|---|---|
| Doing Business As | EYE ON GERVAIS |
| Entity Type | Organization |
| Authorized Contact | AMY L BRINKLEY Billing Specialist 803-798-8642 |
| Organization Subpart ? | No |
| Primary Taxonomy | 152W00000X Optometrist (Licence: SC 636) |
| Enumeration Date | 2006-07-08 |
| Last Update Date | 2008-06-25 |