| NPI | 1407843014 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | TIMOTHY SCOTT MOUSER Ophthalmologist 910-738-4856 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261Q00000X Clinic/Center |
| Additional Taxonomies | 207W00000X Ophthalmology |
| Enumeration Date | 2005-09-29 |
| Last Update Date | 2025-03-13 |