| NPI | 1366471526 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | AMANDA L BARKER Owner Optometrist 704-822-9920 |
| Organization Subpart ? | No |
| Primary Taxonomy | 152W00000X Optometrist (Licence: NC 1850) |
| Additional Taxonomies | 152W00000X Optometrist (Licence: NC 1857) |
| 152W00000X Optometrist (Licence: NC 2046) | |
| Enumeration Date | 2006-07-01 |
| Last Update Date | 2009-07-02 |