| NPI | 1770764946 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KEVIN D BIGHAM Optometrist 704-893-0090 |
| Organization Subpart ? | No |
| Primary Taxonomy | 152W00000X Optometrist |
| Additional Taxonomies | 152WC0802X Optometrist, Corneal and Contact Management |
| 152WV0400X Optometrist, Vision Therapy | |
| Enumeration Date | 2007-11-16 |
| Last Update Date | 2024-08-07 |