NPI | 1437541497 |
---|---|
Entity Type | Organization |
Authorized Contact | ALEXANDER WARD President 864-622-9863 |
Organization Subpart ? | No |
Primary Taxonomy | 152W00000X Optometrist (Licence: SC 1617) |
Additional Taxonomies | 152W00000X Optometrist (Licence: SC 1616) |
152W00000X Optometrist (Licence: SC 782) | |
Enumeration Date | 2015-02-28 |
Last Update Date | 2015-05-31 |