NPI | 1750551016 |
---|---|
Entity Type | Organization |
Authorized Contact | THOMAS E. BREWINGTON President 336-272-5628 |
Organization Subpart ? | No |
Primary Taxonomy | 207W00000X Ophthalmology |
Additional Taxonomies | 332H00000X Eyewear Supplier |
Enumeration Date | 2008-03-03 |
Last Update Date | 2008-07-25 |