| NPI | 1750601803 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | PATRICK A HAGEMAN President 336-992-9637 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207W00000X Ophthalmology |
| Additional Taxonomies | 208600000X Surgery |
| Enumeration Date | 2010-06-10 |
| Last Update Date | 2024-03-02 |