| NPI | 1801851704 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JONATHAN D CHRISTENBURY Owner 704-332-9365 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207W00000X Ophthalmology (Licence: NC 57056) |
| Additional Taxonomies | 152W00000X Optometrist (Licence: NC 57056) |
| Enumeration Date | 2006-04-20 |
| Last Update Date | 2007-10-03 |