| NPI | 1962456533 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MISTI NORRIS Insurance Manager 336-248-2237 |
| Organization Subpart ? | No |
| Primary Taxonomy | 152W00000X Optometrist (Licence: NC 1201) |
| Additional Taxonomies | 152W00000X Optometrist (Licence: NC 1197) |
| 152W00000X Optometrist (Licence: NC 1845) | |
| 152W00000X Optometrist (Licence: NC 2005) | |
| Enumeration Date | 2006-05-19 |
| Last Update Date | 2008-04-15 |