| NPI | 1528007507 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JITENDRA SWARUP Owner 252-335-5446 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207W00000X Ophthalmology |
| Additional Taxonomies | 332B00000X Durable Medical Equipment & Medical Supplies |
| 152W00000X Optometrist | |
| Enumeration Date | 2006-06-05 |
| Last Update Date | 2024-02-08 |