| NPI | 1952635278 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | WILLANE ARETTA WYLIE Owner/Optometrist 704-575-6796 |
| Organization Subpart ? | No |
| Primary Taxonomy | 152W00000X Optometrist (Licence: NC 1824) |
| Enumeration Date | 2009-09-21 |
| Last Update Date | 2009-09-22 |