| NPI | 1952419962 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LEROY ROBERSON President 828-456-7142 |
| Organization Subpart ? | No |
| Primary Taxonomy | 152W00000X Optometrist (Licence: NC 0928) |
| Additional Taxonomies | 152WC0802X Optometrist Corneal and Contact Management (Licence: NC 0928) |
| Enumeration Date | 2006-08-29 |
| Last Update Date | 2018-06-21 |