| NPI | 1659571297 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DAN S WATTS Owner 803-438-8848 |
| Organization Subpart ? | No |
| Primary Taxonomy | 156FX1800X Technician/Technologist, Optician (Licence: SC 866) |
| Enumeration Date | 2007-07-23 |
| Last Update Date | 2007-07-23 |