| NPI | 1841211828 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JANET WHITE Office Manager 252-758-4166 |
| Organization Subpart ? | No |
| Primary Taxonomy | 156FX1800X Technician/Technologist, Optician (Licence: NC 200001362627) |
| Additional Taxonomies | 156F00000X Technician/Technologist (Licence: NC 200001362627) |
| Enumeration Date | 2006-07-22 |
| Last Update Date | 2010-11-18 |