NPI | 1487880514 |
---|---|
Entity Type | Organization |
Authorized Contact | MONIE CLIFTON Optometrist 803-746-7711 |
Organization Subpart ? | Yes |
Primary Taxonomy | 152W00000X Optometrist (Licence: SC 1447) |
Additional Taxonomies | 152W00000X Optometrist (Licence: SC 1448) |
Enumeration Date | 2009-06-03 |
Last Update Date | 2013-07-18 |