| NPI | 1417361601 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LESLIE DUNN NIENABER Optometrist/Lease Owner 336-793-5904 |
| Organization Subpart ? | No |
| Primary Taxonomy | 152W00000X Optometrist (Licence: NC 1780) |
| Enumeration Date | 2014-06-16 |
| Last Update Date | 2014-06-16 |