| NPI | 1497949887 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CHARLES FRANCES BYRNES Doctor 336-272-5252 |
| Organization Subpart ? | No |
| Primary Taxonomy | 152W00000X Optometrist (Licence: NC 0911) |
| Additional Taxonomies | 156FX1800X Technician/Technologist, Optician (Licence: NC 0911) |
| 332B00000X Durable Medical Equipment & Medical Supplies (Licence: NC 0911) | |
| 332H00000X Eyewear Supplier (Equipment, not the service) (Licence: NC 0911) | |
| Enumeration Date | 2007-08-29 |
| Last Update Date | 2007-08-29 |