NPI | 1770565939 |
---|---|
Entity Type | Organization |
Authorized Contact | RANDALL D HOLLAND Partner 704-922-9808 |
Organization Subpart ? | No |
Primary Taxonomy | 152W00000X Optometrist (Licence: NC 1048) |
Additional Taxonomies | 152W00000X Optometrist (Licence: NC 1826) |
Enumeration Date | 2005-11-15 |
Last Update Date | 2008-08-07 |