| NPI | 1679069116 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MARK S. BROWN Sole Owner 251-650-5437 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207WX0200X Ophthalmology, Ophthalmic Plastic and Reconstructive Surgery |
| Enumeration Date | 2018-07-09 |
| Last Update Date | 2023-10-24 |