| NPI | 1710497698 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CHANTEL NICOLE GARCIA TARBETT Optometrist 704-322-3600 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261Q00000X Clinic/Center (Licence: NC 2409) |
| Enumeration Date | 2017-10-05 |
| Last Update Date | 2018-01-03 |