| NPI | 1861803124 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | RENEE' OSBORNE Billing And Insurance Specialist 336-766-7373 |
| Organization Subpart ? | No |
| Primary Taxonomy | 152W00000X Optometrist (Licence: NC 1020) |
| Enumeration Date | 2014-05-08 |
| Last Update Date | 2014-05-08 |