| NPI | 1700056066 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | STACI A PALMER Optometrist/Vice President 336-841-2028 |
| Organization Subpart ? | No |
| Primary Taxonomy | 152W00000X Optometrist (Licence: NC 1689) |
| Enumeration Date | 2008-03-03 |
| Last Update Date | 2012-01-23 |