| NPI | 1558448852 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KERRY R STECK President 864-627-0634 |
| Organization Subpart ? | No |
| Primary Taxonomy | 152W00000X Optometrist (Licence: SC 945) |
| Additional Taxonomies | 152W00000X Optometrist (Licence: SC 1072) |
| 152W00000X Optometrist (Licence: SC 1707) | |
| Enumeration Date | 2006-11-01 |
| Last Update Date | 2012-07-16 |