| NPI | 1821219122 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SUZANNE ELIZABETH CASS Manager 843-722-0413 |
| Organization Subpart ? | No |
| Primary Taxonomy | 156FX1800X Technician/Technologist, Optician (Licence: SC 072581) |
| Enumeration Date | 2007-05-02 |
| Last Update Date | 2008-05-21 |