| 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 |