| NPI | 1942470505 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | TIMOTHY RANDOLPH SMITH Optician 919-929-1627 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332B00000X Durable Medical Equipment & Medical Supplies (Licence: NC 1449) |
| Enumeration Date | 2008-03-10 |
| Last Update Date | 2008-04-16 |