NPI | 1568642783 |
---|---|
Entity Type | Organization |
Authorized Contact | SUSAN BOINEAU Owner, Optician 843-889-9366 |
Organization Subpart ? | No |
Primary Taxonomy | 156F00000X Technician/Technologist (Licence: SC 730) |
Enumeration Date | 2007-11-05 |
Last Update Date | 2007-11-05 |