NPI | 1609042829 |
---|---|
Entity Type | Organization |
Authorized Contact | ANDREA P NEFF Optometrist 704-301-7058 |
Organization Subpart ? | No |
Primary Taxonomy | 305R00000X Preferred Provider Organization (Licence: SC 1379) |
Enumeration Date | 2008-05-07 |
Last Update Date | 2016-12-14 |