NPI | 1972628055 |
---|---|
Doing Business As | SPARTANBURG VISION WEST |
Entity Type | Organization |
Authorized Contact | TOM MACMILLAN Owner 864-576-0564 |
Organization Subpart ? | Yes |
Primary Taxonomy | 152W00000X Optometrist (Licence: SC 991) |
Enumeration Date | 2007-03-20 |
Last Update Date | 2008-08-11 |