| NPI | 1578044509 |
|---|---|
| Doing Business As | ATLANTIC VISION CENTER |
| Entity Type | Organization |
| Authorized Contact | CHAD E TISDALE President 910-799-0220 |
| Organization Subpart ? | No |
| Primary Taxonomy | 152W00000X Optometrist (Licence: NC 2178) |
| Enumeration Date | 2018-08-28 |
| Last Update Date | 2018-08-28 |