| NPI | 1396276630 |
|---|---|
| Doing Business As | SUMMERVILLE PRIMARY EYECARE |
| Entity Type | Organization |
| Authorized Contact | KELLI MCCARTNEY LLC Member 304-982-4964 |
| Organization Subpart ? | No |
| Primary Taxonomy | 152W00000X Optometrist (Licence: SC 1850) |
| Enumeration Date | 2017-03-27 |
| Last Update Date | 2017-03-27 |