| NPI | 1780798827 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LESLIE M. ANDERSON President/O PT Ometrist 704-545-8831 |
| Organization Subpart ? | No |
| Primary Taxonomy | 152WC0802X Optometrist Corneal and Contact Management (Licence: NC 1078) |
| Enumeration Date | 2006-08-18 |
| Last Update Date | 2008-02-08 |