| NPI | 1912959560 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SAMUEL ERIC SELTZER Owner 843-664-9393 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QS0132X Clinic/Center, Ophthalmologic Surgery (Licence: SC 802523) |
| Enumeration Date | 2006-05-16 |
| Last Update Date | 2018-08-23 |