| NPI | 1326263658 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JOHN W. STORY Owner Md 803-285-7400 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207W00000X Ophthalmology |
| Additional Taxonomies | 332H00000X Eyewear Supplier (Equipment, not the service) (Licence: SC 10512) |
| Enumeration Date | 2007-04-13 |
| Last Update Date | 2012-02-17 |