| NPI | 1407066905 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LAWRENCE EDWIN RICHARD President 843-818-2020 |
| Organization Subpart ? | No |
| Primary Taxonomy | 156FX1800X Technician/Technologist, Optician |
| Additional Taxonomies | 152W00000X Optometrist |
| 332H00000X Eyewear Supplier (Equipment, not the service) | |
| Enumeration Date | 2007-05-23 |
| Last Update Date | 2020-01-02 |