| NPI | 1578706727 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DAVID M NOONAN Optometrist 704-663-3796 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332H00000X Eyewear Supplier (Equipment, not the service) (Licence: NC 1587) |
| Enumeration Date | 2009-04-16 |
| Last Update Date | 2009-04-16 |