| NPI | 1417945775 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | BOB MCCULLEN Managing Partner 704-853-3937 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207W00000X Ophthalmology |
| Additional Taxonomies | 332H00000X Eyewear Supplier (Equipment, not the service) |
| 152W00000X Optometrist | |
| Enumeration Date | 2005-10-11 |
| Last Update Date | 2008-08-04 |