NPI | 1750712899 |
---|---|
Entity Type | Organization |
Authorized Contact | JANET LYNN MONACO Sole Member/Owner 843-469-2688 |
Organization Subpart ? | No |
Primary Taxonomy | 152WV0400X Optometrist, Vision Therapy |
Additional Taxonomies | 152W00000X Optometrist (Licence: SC 1526) |
Enumeration Date | 2013-11-27 |
Last Update Date | 2022-09-27 |