| NPI | 1467623900 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JITENDRA SWARUP Member 252-335-5446 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 207W00000X Ophthalmology |
| Additional Taxonomies | 152W00000X Optometrist |
| 332B00000X Durable Medical Equipment & Medical Supplies | |
| Enumeration Date | 2008-03-12 |
| Last Update Date | 2024-02-08 |