| NPI | 1720187172 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JAMES M VAUGHT Owner 843-488-2020 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 152W00000X Optometrist (Licence: SC 754) |
| Additional Taxonomies | 207W00000X Ophthalmology |
| 332H00000X Eyewear Supplier (Equipment, not the service) (Licence: SC 754) | |
| Enumeration Date | 2006-09-22 |
| Last Update Date | 2023-11-29 |