| NPI | 1831377845 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MICHELE ANN DONOVAN Optometrist/Owner 843-763-2247 |
| Organization Subpart ? | No |
| Primary Taxonomy | 152W00000X Optometrist (Licence: SC 1308) |
| Enumeration Date | 2008-02-01 |
| Last Update Date | 2008-02-01 |