| NPI | 1740624113 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DAVID MICHAEL MILLS Owner 855-989-2020 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207W00000X Ophthalmology |
| Additional Taxonomies | 152W00000X Optometrist |
| Enumeration Date | 2013-04-29 |
| Last Update Date | 2013-04-29 |