| NPI | 1346302882 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | STEVEN A DINGELDEIN Credentialing 336-228-0254 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207W00000X Ophthalmology |
| Additional Taxonomies | 152W00000X Optometrist |
| Enumeration Date | 2006-12-14 |
| Last Update Date | 2008-05-15 |