| NPI | 1609267756 |
|---|---|
| Former Legal Business Name | SOUTHERN EYE ASSOCIATES, PA |
| Entity Type | Organization |
| Authorized Contact | BRADLEY B WILLIAMS President 864-220-0737 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 332H00000X Eyewear Supplier (Equipment, not the service) |
| Enumeration Date | 2015-02-11 |
| Last Update Date | 2015-08-25 |