| NPI | 1386002467 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SOLITA JONES BERGELT Optometrist/Owner 910-736-9833 |
| Organization Subpart ? | No |
| Primary Taxonomy | 152W00000X Optometrist (Licence: SC 1835) |
| Enumeration Date | 2016-02-04 |
| Last Update Date | 2016-02-04 |