| NPI | 1790999449 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | RALPH WATSON WALLACE President 252-443-6845 |
| Organization Subpart ? | No |
| Primary Taxonomy | 156FX1800X Technician/Technologist, Optician (Licence: NC 263) |
| Enumeration Date | 2007-05-10 |
| Last Update Date | 2020-08-22 |