| NPI | 1669486718 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JEFFREY SCOTT WILKINS VP 864-585-2249 |
| Organization Subpart ? | No |
| Primary Taxonomy | 156FX1800X Technician/Technologist, Optician (Licence: SC 583) |
| Enumeration Date | 2006-07-27 |
| Last Update Date | 2008-10-16 |