| NPI | 1487707881 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MARVIN E. ARD President 843-766-7753 |
| Organization Subpart ? | No |
| Primary Taxonomy | 156FX1800X Technician/Technologist Optician (Licence: SC 159) |
| Additional Taxonomies | 156FC0801X Technician/Technologist Contact Lens Fitter (Licence: SC 6) |
| Enumeration Date | 2007-01-19 |
| Last Update Date | 2008-04-07 |