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 |