NPI | 1528242559 |
---|---|
Entity Type | Organization |
Authorized Contact | ANGIE PATTESON Optometrist 803-279-5277 |
Organization Subpart ? | No |
Primary Taxonomy | 332H00000X Eyewear Supplier (Equipment, not the service) (Licence: SC 0658800001) |
Enumeration Date | 2007-12-27 |
Last Update Date | 2010-01-27 |