| NPI | 1871845172 |
|---|---|
| Doing Business As | GENESIS EYE CENTER |
| Entity Type | Organization |
| Authorized Contact | GALEN GRAYSON Owner/Medical Director 704-295-0001 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207W00000X Ophthalmology |
| Enumeration Date | 2012-10-10 |
| Last Update Date | 2012-10-10 |