| 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 |