| NPI | 1730450941 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MICHAEL WILLIAM MILICI Owner/Optometrist 864-225-0474 |
| Organization Subpart ? | No |
| Primary Taxonomy | 152W00000X Optometrist (Licence: SC 935) |
| Enumeration Date | 2012-01-19 |
| Last Update Date | 2012-01-19 |