| NPI | 1386173847 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KELLEY J TAYLOR Optician 336-231-3135 |
| Organization Subpart ? | No |
| Primary Taxonomy | 156FX1800X Technician/Technologist, Optician (Licence: NC 2087) |
| Enumeration Date | 2017-06-08 |
| Last Update Date | 2022-07-21 |