| NPI | 1831127471 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | HENRY L MILNE Medical Director President 803-256-0641 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207W00000X Ophthalmology |
| Additional Taxonomies | 332H00000X Eyewear Supplier (Equipment, not the service) |
| Enumeration Date | 2006-06-30 |
| Last Update Date | 2008-01-11 |