| NPI | 1902116320 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | FREDERICK ADRIAN SHINNERS President/CEO 843-216-1338 |
| Organization Subpart ? | No |
| Primary Taxonomy | 152W00000X Optometrist (Licence: SC SC 1149) |
| Enumeration Date | 2010-10-19 |
| Last Update Date | 2012-07-31 |