| NPI | 1508895475 |
|---|---|
| Doing Business As | SOUTH CHARLESTON EYECARE |
| Entity Type | Organization |
| Authorized Contact | TRAVIS L TAYLOR Member 304-744-1303 |
| Organization Subpart ? | No |
| Primary Taxonomy | 152W00000X Optometrist |
| Enumeration Date | 2006-07-02 |
| Last Update Date | 2009-10-07 |