| NPI | 1629251202 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KELLY J SHARPTON Office Administrator 864-582-0286 |
| Organization Subpart ? | No |
| Primary Taxonomy | 152W00000X Optometrist (Licence: SC 1359) |
| Enumeration Date | 2007-12-06 |
| Last Update Date | 2007-12-07 |