NPI | 1720273808 |
---|---|
Doing Business As | SOUTHERN VISION CARE |
Entity Type | Organization |
Authorized Contact | MARK SHIREY Owner/Optometrist 251-634-2144 |
Organization Subpart ? | No |
Primary Taxonomy | 152W00000X Optometrist (Licence: AL S-968-TA-542) |
Enumeration Date | 2007-09-11 |
Last Update Date | 2008-08-20 |