NPI | 1538139308 |
---|---|
Entity Type | Organization |
Authorized Contact | J EARL BOWLING President 910-276-1993 |
Organization Subpart ? | No |
Primary Taxonomy | 152W00000X Optometrist (Licence: NC 1177) |
Additional Taxonomies | 152W00000X Optometrist (Licence: NC 1795) |
Enumeration Date | 2006-01-25 |
Last Update Date | 2009-06-19 |