NPI | 1679535504 |
---|---|
Entity Type | Organization |
Authorized Contact | WILLIAM CHARLESS PHILBRICK President Optometrist 910-484-6178 |
Organization Subpart ? | No |
Primary Taxonomy | 152W00000X Optometrist (Licence: NC 844) |
Enumeration Date | 2006-04-05 |
Last Update Date | 2008-04-17 |