| NPI | 1598923955 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | HEBER GRANT SIMS O PT Ometrist 864-574-0366 |
| Organization Subpart ? | No |
| Primary Taxonomy | 152WC0802X Optometrist, Corneal and Contact Management (Licence: SC 565) |
| Enumeration Date | 2008-06-01 |
| Last Update Date | 2009-09-28 |