| NPI | 1346408457 |
|---|---|
| Doing Business As | SOUTHPARK OPTICAL CENTER |
| Entity Type | Organization |
| Authorized Contact | WILLIAM THOMAS RENFROW President/O PT Ician 704-364-4300 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332H00000X Eyewear Supplier (Licence: NC 692) |
| Enumeration Date | 2008-05-26 |
| Last Update Date | 2008-08-12 |