| NPI | 1346318003 |
|---|---|
| Other Name | PLLC |
| Entity Type | Organization |
| Authorized Contact | ELIZABETH REID MULLETT Optometrist Member Manager 252-758-2100 |
| Organization Subpart ? | No |
| Primary Taxonomy | 152W00000X Optometrist (Licence: NC 1503) |
| Enumeration Date | 2006-12-01 |
| Last Update Date | 2012-08-27 |