| 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 |