| NPI | 1447758032 |
|---|---|
| Doing Business As | CHARLESTON EYE |
| Entity Type | Organization |
| Authorized Contact | CODY SMOUSE Owner 724-689-5073 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QP2300X Clinic/Center, Primary Care (Licence: SC 1704) |
| Enumeration Date | 2018-01-29 |
| Last Update Date | 2018-01-29 |