| NPI | 1932382363 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SAMUEL DAVID GARRETT Doctor/Owner 864-232-2779 |
| Organization Subpart ? | No |
| Primary Taxonomy | 152W00000X Optometrist (Licence: SC 712) |
| Additional Taxonomies | 332BX2000X Durable Medical Equipment & Medical Supplies, Oxygen Equipment & Supplies (Licence: SC 714) |
| Enumeration Date | 2007-12-07 |
| Last Update Date | 2014-10-06 |