| 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 |