| NPI | 1366472177 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MICHAEL WALKER KELLY Medical Director 919-282-1100 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207W00000X Ophthalmology |
| Additional Taxonomies | 332B00000X Durable Medical Equipment & Medical Supplies |
| Enumeration Date | 2006-07-04 |
| Last Update Date | 2023-03-01 |