| NPI | 1528313301 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ALEX BUNICH Owner 704-733-9120 |
| Organization Subpart ? | No |
| Primary Taxonomy | 152WC0802X Optometrist Corneal and Contact Management (Licence: NC NC1789) |
| Enumeration Date | 2012-07-18 |
| Last Update Date | 2012-07-18 |