| NPI | 1922094895 |
|---|---|
| Doing Business As | WILSON OPTICAL |
| Entity Type | Organization |
| Authorized Contact | SHAWN C PUTNAM Partner/President 252-443-6129 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207W00000X Ophthalmology |
| Enumeration Date | 2005-09-26 |
| Last Update Date | 2014-07-14 |