| NPI | 1841837085 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MELONIE R MCINTOSH Corporate Officer 252-752-4380 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 152W00000X Optometrist |
| Additional Taxonomies | 332H00000X Eyewear Supplier |
| Enumeration Date | 2019-12-06 |
| Last Update Date | 2019-12-06 |