| NPI | 1487690905 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JENNIFER R FISHEL Optometrist / Owner 252-756-6031 |
| Organization Subpart ? | No |
| Primary Taxonomy | 152W00000X Optometrist (Licence: NC 1791) |
| Enumeration Date | 2006-06-22 |
| Last Update Date | 2010-03-31 |