| NPI | 1942755384 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MICHAEL NAGOWSKI CEO 910-615-4000 |
| Organization Subpart ? | No |
| Primary Taxonomy | 156FX1100X Technician/Technologist Ophthalmic (Licence: NC H0213) |
| Additional Taxonomies | 152W00000X Optometrist (Licence: NC H0213) |
| Enumeration Date | 2016-08-15 |
| Last Update Date | 2016-08-15 |