| NPI | 1811156359 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | WILLIAM ROY REYNOLDS Optometrist 803-996-2020 |
| Organization Subpart ? | No |
| Primary Taxonomy | 152W00000X Optometrist (Licence: SC 1291) |
| Additional Taxonomies | 152W00000X Optometrist (Licence: SC 1427) |
| Enumeration Date | 2008-06-09 |
| Last Update Date | 2008-07-22 |