| NPI | 1821529249 |
|---|---|
| Doing Business As | NORTHLAKE EYE |
| Entity Type | Organization |
| Authorized Contact | RACHAEL WRUBLE Optometrist/Owner 704-860-9944 |
| Organization Subpart ? | No |
| Primary Taxonomy | 152W00000X Optometrist (Licence: NC 2165) |
| Enumeration Date | 2017-03-27 |
| Last Update Date | 2020-05-13 |