| NPI | 1376722231 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MICHAEL ANTONIO SPENCER President/ Owner 336-378-2511 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QS0132X Clinic/Center Ophthalmologic Surgery (Licence: NC 200100470) |
| Enumeration Date | 2007-10-29 |
| Last Update Date | 2008-04-14 |