| NPI | 1588945778 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JULIE A BELANGER President 919-741-7525 |
| Organization Subpart ? | No |
| Primary Taxonomy | 152W00000X Optometrist (Licence: NC 2078) |
| Additional Taxonomies | 152WC0802X Optometrist Corneal and Contact Management (Licence: NC 2078) |
| 152WP0200X Optometrist Pediatrics (Licence: NC 2078) | |
| 152WV0400X Optometrist Vision Therapy (Licence: NC 2078) | |
| Enumeration Date | 2011-09-01 |
| Last Update Date | 2011-11-13 |