| NPI | 1710176979 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | EILEEN MARIE BLACK Insurance Coordinator 828-682-2104 |
| Organization Subpart ? | No |
| Primary Taxonomy | 152W00000X Optometrist (Licence: NC 1015) |
| Enumeration Date | 2007-10-23 |
| Last Update Date | 2022-11-08 |