| NPI | 1720629637 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | PRADEEP METTU Owner/Member 919-626-8783 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207W00000X Ophthalmology |
| Additional Taxonomies | 261QS0132X Clinic/Center, Ophthalmologic Surgery |
| Enumeration Date | 2019-10-01 |
| Last Update Date | 2019-10-05 |