| 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 |