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 |