NPI | 1477805562 |
---|---|
Doing Business As | DIVERSIFIED EYECARE ASSOCIATES OD, PLLC |
Entity Type | Organization |
Authorized Contact | NICHOLAS D GRAHAM President 843-245-0427 |
Organization Subpart ? | No |
Primary Taxonomy | 152W00000X Optometrist (Licence: NC 2222) |
Additional Taxonomies | 152W00000X Optometrist (Licence: SC 1599) |
Enumeration Date | 2012-10-12 |
Last Update Date | 2012-10-12 |