NPI | 1336296219 |
---|---|
Other Name | BASE VISION CENTER |
Entity Type | Organization |
Authorized Contact | STEVE MICHAEL SHELTON Owner 910-451-5249 |
Organization Subpart ? | No |
Primary Taxonomy | 152W00000X Optometrist (Licence: NC 0999) |
Enumeration Date | 2007-01-04 |
Last Update Date | 2012-07-02 |