| NPI | 1831463652 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | HORACE E FERGUSON President 843-655-2299 |
| Organization Subpart ? | No |
| Primary Taxonomy | 156FX1800X Technician/Technologist, Optician (Licence: SC 026666224) |
| Enumeration Date | 2012-02-24 |
| Last Update Date | 2012-04-26 |