| NPI | 1942378187 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CRAIG GARDNER Chief Operating Officer 910-221-3670 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207W00000X Ophthalmology |
| Additional Taxonomies | 152W00000X Optometrist |
| Enumeration Date | 2006-12-04 |
| Last Update Date | 2025-02-17 |