| NPI | 1679918726 |
|---|---|
| Former Legal Business Name | NEIGHBORLY OPTICAL LLC |
| Entity Type | Organization |
| Authorized Contact | KEITH LAMAR ENGRAM Owner/ Optician 843-552-2070 |
| Organization Subpart ? | No |
| Primary Taxonomy | 152W00000X Optometrist |
| Enumeration Date | 2013-05-02 |
| Last Update Date | 2015-01-08 |